Melvin, Susan

Melvin, Susan is an sole proprietor health care provider with primary practice located at 450 E Spring St Suite #1, Long Beach CA 90806-1625. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Melvin, Susan can be contacted via phone (562) 933-0068.

Contact Information

Primary practice address
450 E Spring St Suite #1 Long Beach CA 90806-1625
Phone: (562) 933-0068
Fax: (562) 933-0078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 20A5075 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 20A5075 California

Profile Details

NPI number 1750487765
LBN Legal business name Melvin, Susan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1750487765 NPPES
California MEDICAID 00AX50750

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