Active NPI
Duvan Mejia M,D Inc
- Surgery Physician
- Huntington Park, CA
National Provider Identifier
1225229180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A29590
- Legal business name
- DUVAN MEJIA M,D INC
- Practice address
- 2700 E Slauson Ave
Suite 301
Huntington Park, CA 90255-3000 - Phone
- (323) 582-1780
- Fax
- (323) 582-6271
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Duvan Mejia, M.D
- Title
- President
- Phone
- (323) 582-1780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A29590 | CA | Primary |
Addresses
Primary practice location
2700 E Slauson Ave
Suite 301
Huntington Park, CA 90255-3000
Mailing address
2700 E Slauson Ave
Suite 301
Huntington Park, CA 90255-3000
Phone (323) 582-1780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A295901 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2700 E Slauson Ave
Huntington Park, CA 90255
2700 E Slauson Ave
Ste 301
Huntington Pk, CA 90255
Phone (323) 581-1649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186358400000",
"number": "1225229180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E SLAUSON AVE",
"address_2": "SUITE 301",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902553000",
"telephone_number": "323-582-1780",
"fax_number": "323-582-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E SLAUSON AVE",
"address_2": "SUITE 301",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902553000",
"telephone_number": "323-582-1780",
"fax_number": "323-582-6271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUVAN MEJIA M,D INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A",
"authorized_official_last_name": "MEJIA",
"authorized_official_first_name": "DUVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-582-1780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A29590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A295901",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.