Farrell, Melanie A.

Farrell, Melanie A. is an individual health care provider with primary practice located at 9834 Genesee Ave Suite 312, La Jolla CA 92037-1223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Farrell, Melanie A. can be contacted via phone (858) 558-8150.

Contact Information

Primary practice address
9834 Genesee Ave Suite 312 La Jolla CA 92037-1223
Phone: (858) 558-8150
Fax: (858) 346-1024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G61110 California

Profile Details

NPI number 1144322850
LBN Legal business name Farrell, Melanie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Sep 18th, 2015 - about 10 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 1144322850 NPPES
California Other CD880Z SO. CALIFORNIA PTAN
California Other CA127954 SO. CALIFORNIA PTAN
California MEDICAID 00G611100 SO. CALIFORNIA PTAN
California Other 00G611100 SO. CALIFORNIA PTAN

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