Siccama, Melissa D

Siccama, Melissa D is an individual health care provider with primary practice located at 11370 Anderson St Ste B-100, Loma Linda CA 92354-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Siccama, Melissa D can be contacted via phone (909) 558-2848.

Contact Information

Primary practice address
11370 Anderson St Ste B-100 Loma Linda CA 92354-3450
Phone: (909) 558-2848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A94714 California

Profile Details

NPI number 1508061557
LBN Legal business name Siccama, Melissa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Sep 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508061557 NPPES
California MEDICAID 00A947140

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