Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G12039 | CA |
NPI | 1013071976 |
---|---|
Provider Name | Seymour J Melnik |
First Address | Whittier, CA 90605-2138 |
Second Address | Whittier, CA 90605-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 26/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A90174 | (02) | CA |