| Mark Melden, Do | |
|
158 C Ave Coronado CA 92118-1420 | |
| (619) 435-5400 | |
| (619) 435-5401 |
| Full Name | Mark Melden, Do |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 158 C Ave, Coronado, California |
| Authorized Official Name and Position | Mark Melden (OWNER) |
| Authorized Official Contact | 6194355400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Melden, Do 158 C Ave Coronado CA 92118-1420 Ph: (619) 435-5400 | Mark Melden, Do 158 C Ave Coronado CA 92118-1420 Ph: (619) 435-5400 |
| NPI Number | 1033307905 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033307905 | NPI | - | NPPES |
| 00AX79000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A7900 (California) | Primary |
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