Healthcare Provider Details

I. General information

NPI: 1558754655
Provider Name (Legal Business Name): MELANIE JEAN PRIBICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2015
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NMRTC CAMP PENDLETON 4TH FLOOR, RM 4172
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

NMRTC CAMP PENDLETON 4TH FLOOR, RM 4172
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-1288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA144353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: