Organization Active NPI

Duvan Mejia M,D Inc

  • Surgery Physician
  • Huntington Park, CA
National Provider Identifier
1225229180
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A29590 Issued in CA
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

Updated by the provider on Aug 6, 2007

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A295901MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.