Luis Mercado

NPI #1205232303 in Venice, California

Provider Information

NPI Number: 1205232303
Entity Type: Individual
Name: Luis Mercado
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 17, 2014
Last Updated: Nov 17, 2014

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 396-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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