Individual
MELVIN CHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4070
(760) 924-4207
Mailing address
PO BOX 15648, SACRAMENTO, CA 95852-0648
(951) 781-2270
(951) 781-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G53555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G535550
—
CA
05
—
360002056
—
CA
Enumeration date
09/12/2005
Last updated
12/26/2020
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