Individual
DR. JOSE MELITON MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 S BUENA VISTA ST, SUITE: 300, BURBANK, CA 91505-4554
(818) 846-8981
(818) 846-8985
Mailing address
191 S BUENA VISTA ST, SUITE: 300, BURBANK, CA 91505-4554
(818) 846-8981
(818) 846-8985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A75641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873147
—
NY
01
—
0297912
GHI
NY
01
—
10000017638
AFFINITY
—
01
—
160779
ELDERPLAN
—
01
—
1790890
UNITED HEALTHCARE
—
01
—
301000301
HEALTH PLUS
—
01
—
3C3939
HEALTH NET
—
01
—
5756619
AETNA
—
01
—
58450
GUARDIAN
—
01
—
7217574
CIGNA
—
01
—
P624577
OXFORD
—
01
—
PRV108999
USFHP
—
Enumeration date
09/07/2005
Last updated
07/16/2010
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