Most Relevant Information
Provider Data
NPI Number: | 1003202300 |
Provider Name: | DINA M MEZA |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 95001698 |
Most Important Dates
Enumeration Date: | 04/13/2015 |
Last Updated: | 04/13/2015 |
Provider Practice Location
1000 W CARSON ST
HEAD AND NECK BOX 6
TORRANCE
CA
905022004
Practice Location Phone/Fax
Phone: | 3102222741 |
Fax: | 3102225518 |
Provider Mailing Location
3754 W 135TH ST
HAWTHORNE
CA
902506210
Provider Mailing Phone/Fax
Phone: | 3104622212 |
Fax: |