Provider Demographics
NPI:1801575006
Name:LOPEZ-MEJIA, YOSELINE ANDREA
Entity type:Individual
Prefix:
First Name:YOSELINE
Middle Name:ANDREA
Last Name:LOPEZ-MEJIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MOJAVE CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0307
Mailing Address - Country:US
Mailing Address - Phone:530-321-9677
Mailing Address - Fax:
Practice Address - Street 1:460 MOJAVE CT
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0307
Practice Address - Country:US
Practice Address - Phone:530-321-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator