DR. SUSAN MELVIN D.O. NPI 1750487765

NPI Information

NPI: 1750487765
Provider Name: DR. SUSAN MELVIN, D.O.
Classification: Family Medicine - 207QA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
450 E SPRING ST
SUITE #1
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-0068
Get Directions

DR. Susan Melvin, D.O. is an adolescent medicine family medicine in Long Beach, CA. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. DR. Susan Melvin, D.O. NPI is 1750487765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

450 E SPRING ST
SUITE #1
LONG BEACH, CA
ZIP 90806-625
Phone: (562) 933-0068
Fax: (562) 933-0078

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0000X	Family Medicine	Adolescent Medicine	20A5075	CALIFORNIA	Yes
2	207QA0505X	Family Medicine	Adult Medicine	20A5075	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W20A5075D	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00AX50750	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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