Clifford Ralph Melton

LBN: Clifford Ralph Melton
Clifford Ralph Melton is an health care organization with primary practice located at 401 29Th St 206, Oakland CA 94609. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Clifford Ralph Melton can be contacted via phone (510) 835-3680, or through Melton, Clifford Ralph via phone (510) 835-3680.

Contact Information

Primary practice address
401 29Th St 206 Oakland CA 94609
Fax: (510) 835-0738
Website:
Authorized official contact:
Name: Melton, Clifford Ralph Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A35741 California

Profile Details

NPI number 1417043233
LBN Legal business name Clifford Ralph Melton
DBA Doing business as
Authorized official Melton, Clifford Ralph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417043233 NPPES
California MEDICAID 00A357410

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