Healthcare Provider Details
I. General information
NPI: 1477810497
Provider Name (Legal Business Name): MELISSA AROMIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/15/2012
Last Update Date: 01/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 S MAIN ST SUITE 525
ORANGE CA
92868-4509
US
IV. Provider business mailing address
505 S MAIN ST SUITE 525
ORANGE CA
92868-4509
US
V. Phone/Fax
- Phone: 714-456-5631
- Fax: 714-285-0389
- Phone: 714-456-5631
- Fax: 714-285-0389
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0204X |
| Taxonomy | Pediatric Emergency Medicine (Pediatrics) Physician |
| License Number | A131380 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: