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NPI Code Detail

MEDICARE: JULIE PAN MELCHIONE P.A.

MEDICARE:   JULIE PAN MELCHIONE  P.A.
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
1363A00000XPhysician AssistantPA 12938CA

General Provider Information

NPI Number : 1225005630
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE PAN MELCHIONE P.A.
Provider Business Mailing Address
First Line : 77 CADILLAC DR
Second Line : SUITE 230
City : SACRAMENTO
State : CA
Zip : 95825-5453
Country : US
Telephone Number : 916-920-2082
Fax Number : 916-920-1430
Provider Business Practice Location Address
First Line : 7601 HOSPITAL DR STE 220
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-5408
Country : US
Telephone Number : 916-737-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 09/10/2020

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Directions to “ JULIE PAN MELCHIONE P.A.” Practice Location

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