Melson, Enrico A
Melson, Enrico A is an sole proprietor health care provider with primary practice located at 17500 Foothill Blvd Suite A-2, Fontana CA 92335-3798. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Melson, Enrico A can be contacted via phone (909) 428-0170.Contact Information
Primary practice address
17500 Foothill Blvd Suite A-2
Fontana CA 92335-3798
Phone: (909) 428-0170
Fax: (909) 428-5145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G59473 | California |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | G59473 | California |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | G59473 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G59473 | California |
Profile Details
| NPI number | 1770772071 |
|---|---|
| LBN Legal business name | Melson, Enrico A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2007 |
| Last updated | Jul 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770772071 | NPPES |
| California | Other | 1720241961 | MEDI-CAL |
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