Individual
MELISSA SHIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UCI DERMATOLOGY 1 MEDICAL PLAZA DRIVE, IRVINE, CA 92697
(949) 824-0606
Mailing address
UCI DERMATOLOGY 118 MEDICAL SURGE I, IRVINE, CA 92697-2400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A136702
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A136702
CA
207NS0135X
Procedural Dermatology Physician
A136702
CA
Other
Enumeration date
03/29/2013
Last updated
03/12/2025
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