Healthcare Provider Details

I. General information

NPI: 1134561277
Provider Name (Legal Business Name): MELISSA ANN DINOLFO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 SANTA MONICA BLVD SUITE 600
SANTA MONICA CA
90404-2023
US

IV. Provider business mailing address

739 21ST ST
SANTA MONICA CA
90402-3037
US

V. Phone/Fax

Practice location:
  • Phone: 310-633-8400
  • Fax: 310-633-8419
Mailing address:
  • Phone: 310-394-3305
  • Fax: 310-633-8419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH 36533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: