Deitra Mcmahon

NPI 1780204842 · on the registry since 2020 · sole proprietor

Practice

Address: 700 Frederick St Ste C
Santa Cruz, CA 95062
Phone: (831) 996-1222
Organisation at this address: Impakt Medical, Llc
Santa Cruz Pulmonary Medical Group
New Perspectives Center For Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 144

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California