Melillo, Joseph
Melillo, Joseph is an sole proprietor health care provider with primary practice located at 11100 Valley Blvd 108, El Monte CA 91731-2500. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Melillo, Joseph can be contacted via phone (626) 444-2575.Contact Information
Primary practice address
11100 Valley Blvd 108
El Monte CA 91731-2500
Phone: (626) 444-2575
Fax: (626) 444-2570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4191T | California |
Profile Details
| NPI number | 1952350654 |
|---|---|
| LBN Legal business name | Melillo, Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Sep 12th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952350654 | NPPES |
| California | MEDICAID | SD0041910 |
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