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Organization
LEO JOHN MELTVEDT JR DC
Active
Organization
LEO JOHN MELTVEDT JR DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO JOHN MELTVEDT JR. D.C. (CHIROPRACTOR OWNER)
(619) 521-3151
Entity
Organization
Contact information
Practice address
4202 ADAMS AVE, SAN DIEGO, CA 92116-2516
(619) 521-3151
(619) 516-3846
Mailing address
4202 ADAMS AVE, SAN DIEGO, CA 92116-2516
(619) 521-3151
(619) 516-3846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0265740
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
02/14/2007
Last updated
03/30/2009
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