Gm Sally Mellgren, M.D. Inc.

LBN: Gm Sally Mellgren, M.D. Inc.
Gm Sally Mellgren, M.D. Inc. is an health care organization with primary practice located at 3621 Vista Way , Oceanside CA 92056-4522. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Gm Sally Mellgren, M.D. Inc. can be contacted via phone (760) 757-1144, or through Roper, Joanne R via phone (760) 757-1144.

Contact Information

Primary practice address
3621 Vista Way Oceanside CA 92056-4522
Phone: (760) 757-1144
Fax: (760) 721-7701
Website:
Map and Directions
Authorized official contact:
Name: Roper, Joanne R
Phone: (760) 757-1144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G53485 California

Profile Details

NPI number 1285637637
LBN Legal business name Gm Sally Mellgren, M.D. Inc.
DBA Doing business as
Authorized official Roper, Joanne R
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Apr 25th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285637637 NPPES
California MEDICAID 00G534850
California Other 33-0241763A
California Other ZZZ07175Z

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