Medellin, Melissa A

Medellin, Melissa A is an individual health care provider with primary practice located at 1002 N Fairview St , Santa Ana CA 92703-1811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Medellin, Melissa A can be contacted via phone (714) 835-8501.

Contact Information

Primary practice address
1002 N Fairview St Santa Ana CA 92703-1811
Phone: (714) 835-8501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15189 California

Profile Details

NPI number 1003918947
LBN Legal business name Medellin, Melissa A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 27th, 2008 - 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 1003918947 NPPES
California MEDICAID 00NP151890

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