MEDICARE: BRITTANY COOK MELGAR DO

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	207Q00000X	Family Medicine Physician	20A22339	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1720721038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY COOK MELGAR DO

Provider Business Mailing Address
First Line	:	17234 VALLEY BLVD, BUILDING A
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92335-6720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17234 VALLEY BLVD, BUILDING A
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92335-6720
Country	:	US
Telephone Number	:	909-427-2608
Fax Number	:

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

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	02/05/2026

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