MEDICARE: MELANIE MURNAN

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	2251X0800X	Orthopedic Physical Therapist	42921	CA

General Provider Information

NPI Number	:	1932577053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE MURNAN

Provider Business Mailing Address
First Line	:	3450 BONITA RD STE 105
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-3249
Country	:	US
Telephone Number	:	619-425-1084
Fax Number	:	619-425-1858

Provider Business Practice Location Address
First Line	:	3450 BONITA RD STE 105
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-3249
Country	:	US
Telephone Number	:	619-425-1084
Fax Number	:	619-425-1858

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

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	09/04/2015

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Directions to “ MELANIE MURNAN ” Practice Location

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