Individual provider · NPI-1

Dr. George Jesus Meza, L.C.S.W., Ph.D.

Psychologist, Clinical · Lawndale, CA

NPI number1659403285
StatusActive
Last updated in NPPESJan 2, 2019

Details

NPI
1659403285
Entity type
Individual (NPI-1)
Name
Dr. George Jesus Meza
Credential
L.C.S.W., Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 9, 2007
Last updated
Jan 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY28943CAYes
1041C0700X Social Worker, ClinicalLCS16305CA

Practice location

14623 Hawthorne Blvd Ste 406
Lawndale, CA 90260-1595

Phone 310-978-9495 · Fax 310-978-9495

Mailing address

Po Box 97
Lawndale, CA 90260-0097

Phone 310-978-9495 · Fax 310-978-0978

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