Erick, Melisa Audrey

Erick, Melisa Audrey is an individual health care provider with primary practice located at 210 N Tustin Ave , Santa Ana CA 92705-3807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Erick, Melisa Audrey can be contacted via phone (800) 883-7243.

Contact Information

Primary practice address
210 N Tustin Ave Santa Ana CA 92705-3807
Phone: (800) 883-7243
Fax: (714) 647-1245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G64088 California

Profile Details

NPI number 1700921442
LBN Legal business name Erick, Melisa Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 5th, 2017 - about 9 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 1700921442 NPPES
California MEDICAID 00G640880

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