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NPI Code Detail

MEDICARE: MELISA AUDREY ERICK MD

MEDICARE: MELISA AUDREY ERICK 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
1207L00000XAnesthesiology PhysicianG64088CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700921442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISA AUDREY ERICK MD
Provider Business Mailing Address
First Line : PO BOX 4148
Second Line :
City : TORRANCE
State : CA
Zip : 90510-4148
Country : US
Telephone Number : 800-883-7243
Fax Number : 714-647-1245
Provider Business Practice Location Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 800-883-7243
Fax Number : 714-647-1245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 04/05/2017

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Directions to “ MELISA AUDREY ERICK MD” Practice Location

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