Mesa, David

Mesa, David is an sole proprietor health care provider with primary practice located at 1104 S Garfield Ave Ste A , Alhambra CA 91801-7803. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as his primary health care specialty. Mesa, David can be contacted via phone (626) 872-2899.

Contact Information

Primary practice address
1104 S Garfield Ave Ste A Alhambra CA 91801-7803
Phone: (626) 872-2899
Fax: (626) 872-2892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X 05D2065387 California

Profile Details

NPI number 1689084063
LBN Legal business name Mesa, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2014
Last updated May 6th, 2014 - about 11 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 1689084063 NPPES
California Other 05D2065387 STATE LABORATORY LICENSE

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