Melendrez, Martin James

Melendrez, Martin James is an individual health care provider with primary practice located at 1103 Highland Ave , Manhattan Beach CA 90266-5310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Melendrez, Martin James can be contacted via phone (310) 376-8975.

Contact Information

Primary practice address
1103 Highland Ave Manhattan Beach CA 90266-5310
Phone: (310) 376-8975
Fax: (310) 376-4828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT8805T California

Profile Details

NPI number 1609820596
LBN Legal business name Melendrez, Martin James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 27th, 2008 - about 17 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 1609820596 NPPES
California Other WOP8805B PPIN
California Other WY162 PPIN

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