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Organization
MELANIE A. FARRELL, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
MELANIE A. FARRELL, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE A. FARRELL M.D. (PRESIDENT)
(858) 558-7852
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 312, LA JOLLA, CA 92037-1223
(858) 558-7852
(858) 558-7601
Mailing address
9834 GENESEE AVE, SUITE 312, LA JOLLA, CA 92037-1223
(858) 558-7852
(858) 558-7601
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G61110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G611100
BLUE SHIELD
CA
05
—
00G611100
—
CA
Enumeration date
02/20/2007
Last updated
01/04/2010
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