Individual
JOSEPH ALBERT LEGISLADOR MELOCOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD # 10-P, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 19390
CA
Other
Enumeration date
10/17/2009
Last updated
07/21/2022
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