Individual
FRED MELEK SHALOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3010 W ORANGE AVE, SUITE 506, ANAHEIM, CA 92804-3169
(714) 220-0263
(714) 952-2968
Mailing address
3010 W ORANGE AVE, SUITE 506, ANAHEIM, CA 92804-3169
(714) 220-0263
(714) 952-2968
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A33545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A335450
—
CA
Enumeration date
10/27/2005
Last updated
07/21/2010
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