Provider Demographics
NPI:1124159942
Name:SANCHEZ-MEJIA, RENE O (MD)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:O
Last Name:SANCHEZ-MEJIA
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:RENE
Other - Middle Name:O
Other - Last Name:SANCHEZ-MEJIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:FILE # 54433
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10666 N TORREY PINES RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-8920
Practice Address - Fax:858-554-6951
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDR.0003985207T00000X
CAA85880207T00000X
WAMD60877410207T00000X
SCMD93346207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery