MEDICARE: DR. MELINDA MARIA VALDEZ RICHARDSON 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
1	111N00000X	Chiropractor	DC30507	CA

General Provider Information

NPI Number	:	1386846061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELINDA MARIA VALDEZ RICHARDSON D.C.

Provider Business Mailing Address
First Line	:	1706 WILLOW ST STE C
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-5216
Country	:	US
Telephone Number	:	408-440-0342
Fax Number	:	408-645-6470

Provider Business Practice Location Address
First Line	:	1706 WILLOW ST STE C
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-5216
Country	:	US
Telephone Number	:	408-440-0342
Fax Number	:	408-645-6470

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	03/25/2019

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