De Unamuno, Melissa Mattos

De Unamuno, Melissa Mattos is an individual health care provider with primary practice located at 3575 Beacon Ave , Fremont CA 94538-1407. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. De Unamuno, Melissa Mattos can be contacted via phone (510) 794-9672.

Contact Information

Primary practice address
3575 Beacon Ave Fremont CA 94538-1407
Phone: (510) 794-9672
Fax: (510) 792-8138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT6637 California

Profile Details

NPI number 1245256056
LBN Legal business name De Unamuno, Melissa Mattos
Credentials M.O.T.L.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 4th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245256056 NPPES
California Other OT0066370 BLUE SHIELD OF CALIFORNIA
California MEDICAID CT0066370 BLUE SHIELD OF CALIFORNIA

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