Individual
ANDREW THOMAS MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5187
(209) 825-3555
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-6800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
78226
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
09/04/2025
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