Individual provider · NPI-1

Brian Meza

Student in an Organized Health Care Education/Training Program · Westminster, CA

NPI number1750899324
StatusActive
Last updated in NPPESJan 17, 2018

Details

NPI
1750899324
Entity type
Individual (NPI-1)
Name
Brian Meza
Sex
Male
Sole proprietor
No
Enumeration date
Jan 17, 2018
Last updated
Jan 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes
2255A2300X Specialist/Technologist, Athletic Trainer–CA

Practice location

14143 Windjammer Ln
Westminster, CA 92683-4237

Phone 714-715-5002

Mailing address

14143 Windjammer Ln
Westminster, CA 92683-4237

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