Provider Demographics
NPI:1891503975
Name:MEJIA, JULIO NOEL
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:NOEL
Last Name:MEJIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE COVE
Mailing Address - State:CA
Mailing Address - Zip Code:93646-4007
Mailing Address - Country:US
Mailing Address - Phone:559-259-3412
Mailing Address - Fax:
Practice Address - Street 1:285 N 6TH ST
Practice Address - Street 2:
Practice Address - City:ORANGE COVE
Practice Address - State:CA
Practice Address - Zip Code:93646-4007
Practice Address - Country:US
Practice Address - Phone:559-259-3412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician