Individual
MELISSA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1140 W LA VETA AVE STE 700, ORANGE, CA 92868-4229
(714) 547-5404
Mailing address
1140 W LA VETA AVE, STE 700, ORANGE, CA 92868-4229
(714) 547-5404
(714) 547-0935
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54065
CA
Other
Enumeration date
12/07/2016
Last updated
11/11/2021
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