Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | A78461 | CA |
NPI | 1215048178 |
---|---|
Provider Name | Dr. Melissa Zarragoza Arca |
First Address | Rocklin, CA 95765-4650 |
Second Address | Sacramento, CA 95822-4231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A78461 | (05) | CA |