Individual
MR. VLADISLAV MELNICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1711 W KATELLA AVE, ANAHEIM, CA 92804-6450
(714) 400-2959
Mailing address
27219 COYOTE BUSH CT, VALENCIA, CA 91381-2117
(323) 740-7623
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP21140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HE356A
NORTHERN MCAR PIN
CA
Enumeration date
08/25/2011
Last updated
03/13/2026
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