MEDICARE: MELODY ZIKO

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	146N00000X	Basic Emergency Medical Technician		CA

General Provider Information

NPI Number	:	1700539582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY ZIKO

Provider Business Mailing Address
First Line	:	1320 N SIERRA BONITA AVE APT 118
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-4189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 N SIERRA BONITA AVE APT 118
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-4189
Country	:	US
Telephone Number	:	424-222-4200
Fax Number	:

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

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	02/01/2022

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Directions to “ MELODY ZIKO ” Practice Location

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