MEDICARE: EDWARD MELTSER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	20A15938	CA

General Provider Information

NPI Number	:	1124536289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD MELTSER DO

Provider Business Mailing Address
First Line	:	469 N ALFRED ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-2504
Country	:	US
Telephone Number	:	310-923-4757
Fax Number	:

Provider Business Practice Location Address
First Line	:	469 N ALFRED ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-2504
Country	:	US
Telephone Number	:	310-923-4757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2018
Last Update Date	:	12/15/2020

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