Provider Demographics
NPI:1417207887
Name:MEZA, ALEJANDRA (CPHW)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:MEZA
Suffix:
Gender:F
Credentials:CPHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4930 E.59TH PLACE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90270
Mailing Address - Country:US
Mailing Address - Phone:323-215-9282
Mailing Address - Fax:
Practice Address - Street 1:4930 E.59TH PLACE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90270
Practice Address - Country:US
Practice Address - Phone:323-215-9282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator