Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A160532 | CA |
NPI | 1023428547 |
---|---|
Provider Name | Dr. Elina Melamed |
First Address | Mather, CA 95655-4200 |
Second Address | Mather, CA 95655-4200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 22/11/2021 |