Melissa Rose in Antioch - Pediatrics

Melissa Rose - NPI 1053339606

Melissa Rose is a Pediatrics in Antioch, California. Melissa Rose practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Melissa Rose is 1053339606. The last update date is 2012-10-18.

Melissa Rose's current location address is 3700 Sunset Ln, Antioch, California. You can contact this provider via phone number 9257558500 and fax number 9257558200. The mailing address for Melissa Rose is 3700 Sunset Ln, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa Rose
Address 3700 Sunset Ln, Antioch, California
Phone Number 9257558500
Fax Number 9257558200
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053339606
Provider Enumeration Date 2006-07-18
Last Updated Date 2012-10-18

Provider Mailing Address Detail

Address 3700 Sunset Ln
City Antioch
State California (CA)
Post Code 945096199
Phone Number 9257558500
Fax Number 9257558200

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 25MA07624600
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60011948 HORIZON NJ HEALTH
60011957 HORIZON NJ HEALTH
7588624 AETNA PPO
11341226 CAQH
9410411 PHCS
60011952 HORIZON NJ HEALTH
60011954 HORIZON NJ HEALTH
3682036 AETNA HMO

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FAQs about Melissa Rose

What is the unique 10-digit identifier code assigned to Melissa Rose by the Centers for Medicare & Medicaid Services?

The Melissa Rose has been issued the NPI (National Provider Identifier) 1053339606 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Melissa Rose is physically located?

The Melissa Rose is physically situated at the following address: 3700 Sunset Ln, Antioch, CA, 945096199.

What is the area of specialization for Melissa Rose, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Melissa Rose is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Melissa Rose receive its 1053339606 assignment from the Centers for Medicare & Medicaid Services?

The Melissa Rose was assigned its 1053339606 by the Centers for Medicare & Medicaid Services on 2006-07-18.

When was the information related to Melissa Rose most recently updated or refreshed?

The details pertaining to the Melissa Rose, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-18.

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