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Organization
MARK MELDEN, DO
Active
Organization
MARK MELDEN, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MELDEN DO (OWNER)
(619) 435-5400
Entity
Organization
Contact information
Practice address
158 C AVE, CORONADO, CA 92118-1420
(619) 435-5400
(619) 435-5401
Mailing address
158 C AVE, CORONADO, CA 92118-1420
(619) 435-5400
(619) 435-5401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A7900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX79000
—
CA
Enumeration date
10/04/2007
Last updated
06/11/2008
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