Melnichenko, Vladislav

Melnichenko, Vladislav is an individual health care provider with primary practice located at 625 S Fair Oaks Ave Ste 245 , Pasadena CA 91105-2665. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Melnichenko, Vladislav can be contacted via phone (626) 229-9865.

Contact Information

Primary practice address
625 S Fair Oaks Ave Ste 245 Pasadena CA 91105-2665
Phone: (626) 229-9865
Fax: (626) 229-9867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP21140 California

Profile Details

NPI number 1528348273
LBN Legal business name Melnichenko, Vladislav
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Apr 30th, 2014 - about 11 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 1528348273 NPPES
California Other HE356A NORTHERN MCAR PIN

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