Melton, Clifford Ralph
Melton, Clifford Ralph is an individual health care provider with primary practice located at 401 29Th St 206, Oakland CA 94609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Melton, Clifford Ralph can be contacted via phone (510) 835-3680.Contact Information
Primary practice address
401 29Th St 206
Oakland CA 94609
Phone: (510) 835-3680
Fax: (510) 835-0738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A357410 | California |
Profile Details
| NPI number | 1124114947 |
|---|---|
| LBN Legal business name | Melton, Clifford Ralph |
| Credentials | MD MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124114947 | NPPES |
| California | MEDICAID | 00A357410 |
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