Mejia, Matthew Jesse

Mejia, Matthew Jesse is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Mejia, Matthew Jesse can be contacted via phone (209) 468-8641.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-8641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X MPSS-BZUFIX California

Profile Details

NPI number 1154701027
LBN Legal business name Mejia, Matthew Jesse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Jul 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154701027 NPPES
California MEDICAID 946000531

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