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NPI Code Detail

MEDICARE: DR. LORRAINE CELESTE MELENDEZ D.C.

MEDICARE: DR. LORRAINE CELESTE MELENDEZ D.C.
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
1111N00000XChiropractorDC21155CA
2111N00000XChiropractor21155CA

General Provider Information

NPI Number : 1255430252
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORRAINE CELESTE MELENDEZ D.C.
Provider Business Mailing Address
First Line : 120 BIRMINGHAM DR
Second Line : SUITE 100
City : CARDIFF BY THE SEA
State : CA
Zip : 92007-1757
Country : US
Telephone Number : 760-944-0563
Fax Number : 760-944-6773
Provider Business Practice Location Address
First Line : 120 BIRMINGHAM DR
Second Line : SUITE 100
City : CARDIFF BY THE SEA
State : CA
Zip : 92007-1757
Country : US
Telephone Number : 760-944-0563
Fax Number : 760-944-6773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 04/26/2016

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