MEDICARE: JUNE D MELIN MD

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	174400000X	Specialist	G56038	CA
2	207V00000X	Obstetrics & Gynecology Physician	G56038	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33-0360118	OTHER	CA	TAX ID #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528075827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE D MELIN MD

Provider Business Mailing Address
First Line	:	3023 BUNKER HILL ST STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	858-581-0081
Fax Number	:	858-581-2510

Provider Business Practice Location Address
First Line	:	3023 BUNKER HILL ST STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	858-581-0081
Fax Number	:	858-581-2510

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/09/2020

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Directions to “ JUNE D MELIN MD” Practice Location

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