Individual
MELANI P SHAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1213 E OCEAN AVE, LOMPOC, CA 93436-7041
(805) 735-1155
(805) 737-1133
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
(805) 737-5795
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G45466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G45466
MEDICAL LICENSE
CA
01
—
W15185
MEDICARE PTAN - FACILITY
CA
01
—
W15185A
MEDICARE PTAN - FACILITY
CA
Enumeration date
08/17/2006
Last updated
03/07/2023
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