Melmed, Jack Paul
Melmed, Jack Paul is an individual health care provider with primary practice located at 3329 Tweedy Blvd , South Gate CA 90280-4324. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Melmed, Jack Paul can be contacted via phone (323) 566-6183.Contact Information
Primary practice address
3329 Tweedy Blvd
South Gate CA 90280-4324
Phone: (323) 566-6183
Fax: (323) 566-0319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4694 | California |
Profile Details
| NPI number | 1518948223 |
|---|---|
| LBN Legal business name | Melmed, Jack Paul |
| Credentials | OPTOMETRIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518948223 | NPPES |
| California | Other | WY152 | MEDICARE PTAN |
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