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Individual
ANDRES MELGOZA
Active
Individual
ANDRES MELGOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B8093127
COUNTY
CA
Enumeration date
05/15/2018
Last updated
12/22/2025
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