George J Meza Licensed Clinical Social Workers Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS16305 Issued in CA

Legal business name

GEORGE J MEZA LICENSED CLINICAL SOCIAL WORKERS INC.

Doing business as

Meza Mental Health Services

Practice address

15212 Roselle Ave
Lawndale, CA 90260-2308

Phone

(310) 978-9495

Fax

(310) 978-0978

NPI assigned

Oct 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Jesus Meza, LCSW, PH.D.

Title

President

Phone

(310) 978-9495

Specialties & licenses 1

Addresses

Other names 1

• Meza Mental Health Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1245583327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 ROSELLE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602308",
            "telephone_number": "310-978-9495",
            "fax_number": "310-978-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 ROSELLE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602308",
            "telephone_number": "310-978-9495",
            "fax_number": "310-978-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J MEZA LICENSED CLINICAL SOCIAL WORKERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "MEZA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-978-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS16305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meza Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Risa Beth Grand, M.D.

• Community/Behavioral Health Agency in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.