Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ENRICO A MELSON, MD
Active Sole ProprietorDR. ENRICO A MELSON, MD is a Preventive Medicine healthcare provider located in FONTANA, California. NPI 1770772071 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · FONTANA, CA
Registration Details
- NPI Number
- 1770772071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2007 (18.842669159403 yrs)
- Last Updated
- Jul 22, 2010
- Licenses
-
G59473 (CA)G59473 (CA)G59473 (CA)G59473 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17500 FOOTHILL BLVDSUITE A-2FONTANA, CA, 923353798Browse CA providers · Browse ZIP 92335
- Phone
- 9094280170
- Fax
- 9094285145
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Preventive Medicine
- Additional Specialty
- Public Health & General Preventive Medicine
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.