Organization
MELODIA AQUINO-ELIAZO MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODIA AQUINO ELIAZO M.D. (M.D./PRESIDENT)
(559) 268-9737
Entity
Organization
Contact information
Practice address
1045 R ST, FRESNO, CA 93721-1312
(559) 268-9737
(559) 268-0279
Mailing address
1045 R ST, FRESNO, CA 93721-1312
(559) 268-9737
(559) 268-0279
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A42414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A424141
—
CA
Enumeration date
08/31/2006
Last updated
02/22/2018
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