Healthcare Provider Details

I. General information

NPI: 1487188124
Provider Name (Legal Business Name): MELISSA ASMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 FOLSOM BLVD STE 2100
SACRAMENTO CA
95816-5266
US

IV. Provider business mailing address

3160 FOLSOM BLVD STE 2100
SACRAMENTO CA
95816-5266
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3588
  • Fax:
Mailing address:
  • Phone: 916-734-3588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberA188322
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: