Individual
DR. SUSAN MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
450 E SPRING ST, SUITE #1, LONG BEACH, CA 90806-1625
(562) 933-0068
(562) 933-0078
Mailing address
PO BOX 1807, LONG BEACH, CA 90801-1807
(562) 933-0068
(562) 933-0078
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
20A5075
CA
207QA0505X
Adult Medicine Physician
20A5075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX50750
—
CA
Enumeration date
09/16/2006
Last updated
09/11/2025
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