Provider Demographics
NPI:1619607702
Name:MEZA, MELISSA ZUYEIRI (LVN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ZUYEIRI
Last Name:MEZA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 SEASIDE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-1464
Mailing Address - Country:US
Mailing Address - Phone:619-830-8525
Mailing Address - Fax:
Practice Address - Street 1:3111CAMINO DEL NORTE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:619-209-3696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7056OtherHEALTHCARE
7056OtherHEALTHCARE
9912OtherHEALTHCARE
CA9912OtherHEATHCARE
CA9912OtherHEALTHCARE