KRYSTAL MEJIA (NPI# 1225376114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225376114 |
| Entity Type | Individual |
| Full Name | KRYSTAL MEJIA |
| Practice Address |
12021 Wilmington Ave Lot C Los Angeles CA 90059-3019 |
| Practice Telephone | 3106688260 |
| Mailing Telephone | 3106688260 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
12021 WILMINGTON AVE LOT C |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598896284 | Gerardo Magallanes Jr. | Counselor | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2007-03-07 |
| 1033635966 | Amparo Rivera | Counselor | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2017-08-22 |
| 1902322837 | Kevin Hasson | Marriage & Family Therapist | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2017-08-22 |
| 1548784150 | Diana Suazo Ramos | Case Manager/Care Coordinator | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2017-07-26 |
| 1760912448 | Emily Rubzin | Rehabilitation Practitioner | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2017-06-15 |
| 1063949329 | Saeed Coleman | Case Manager/Care Coordinator | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2017-05-17 |
| 1689021404 | Lisa Perkins | Marriage & Family Therapist | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2016-05-22 |
| 1336514215 | Lupita Cabadas | Case Manager/Care Coordinator | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2015-12-03 |
| 1720485857 | Amber Albert | Case Manager/Care Coordinator | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2014-12-04 |
| 1134549785 | Geron Flynn | Case Manager/Care Coordinator | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2014-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on KRYSTAL MEJIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.