| NPI | 1649486127 |
|---|---|
| Doing Business As | MESA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JENS W DIMMICK Owner 714-834-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G26557) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-07-29 |