Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | A740580 | CA |
NPI | 1669483590 |
---|---|
Provider Name | Dr. Methusa Javinar Mejia |
First Address | Rancho Mirage, CA 92270-1739 |
Second Address | Palm Desert, CA 92260-3637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 07/05/2013 |