Individual
TAMTARA MELNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R
Contact information
Practice address
8641 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211-2920
(310) 657-2202
Mailing address
PO BOX 515110, LOS ANGELES, CA 90051-5110
(310) 657-2202
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
OT5327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT5327
MEDICAL LICENSE
CA
Enumeration date
01/22/2008
Last updated
01/25/2008
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