| NPI | 1588065205 |
|---|---|
| Doing Business As | LA MESA MEDICAL AND MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | STAN SHARMA President 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 1234) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |