MENA MESDAQ PA NPI 1376887976

NPI Information

NPI: 1376887976
Provider Name: MENA MESDAQ, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
6515 LA JOLLA BLVD
LA JOLLA, CA
ZIP 92037
Phone: (858) 454-7157
Get Directions

Mena Mesdaq, PA is a medical physician assistant in La Jolla, CA. Mena Mesdaq, PA NPI is 1376887976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6515 LA JOLLA BLVD
LA JOLLA, CA
ZIP 92037-066
Phone: (858) 454-7157

The enumeration date for this NPI number is 11/20/2012 and was last updated on 11/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	22646	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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