Individual
MELCHIOR P. VALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5129 GARFIELD ST, LA MESA, CA 91941-5103
(619) 465-3200
(619) 465-3700
Mailing address
5129 GARFIELD ST, LA MESA, CA 91941-5103
(619) 465-3200
(619) 465-3700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E22010
BC
—
05
—
1165019
—
CA
01
—
756480533
RR MEDICARE
—
Enumeration date
12/13/2007
Last updated
09/07/2010
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