Melodie K Isgro in San Diego - Addiction Medicine

Melodie K Isgro - NPI 1528094968

Melodie K Isgro is a Addiction Medicine in San Diego, California. Melodie K Isgro practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Melodie K Isgro is 1528094968. The last update date is 2014-10-14.

Melodie K Isgro's current location address is 3350 La Jolla Village Dr, San Diego, California. You can contact this provider via phone number 8585528585. The mailing address for Melodie K Isgro is 3350 La Jolla Village Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Melodie K Isgro
Address 3350 La Jolla Village Dr, San Diego, California
Phone Number 8585528585
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528094968
Provider Enumeration Date 2006-06-25
Last Updated Date 2014-10-14

Provider Mailing Address Detail

Address 3350 La Jolla Village Dr
City San Diego
State California (CA)
Post Code 921610002
Phone Number 8585528585
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No 268984
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
930110029 OR RR MEDICARE

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FAQs about Melodie K Isgro

What is the Melodie K Isgro's 1528094968?

The Melodie K Isgro's NPI (National Provider Identifier) Number is 1528094968. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Melodie K Isgro's facilities are situated?

The facilities of Melodie K Isgro are physically located at the following address: 3350 La Jolla Village Dr, San Diego, CA, 921610002.

What is Melodie K Isgro's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Melodie K Isgro is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 2084A0401X.

On what date did the Melodie K Isgro receive its 1528094968 assignment from the Centers for Medicare & Medicaid Services?

The Melodie K Isgro was assigned its 1528094968 by the Centers for Medicare & Medicaid Services on 2006-06-25.

As of what date was the information regarding Melodie K Isgro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Melodie K Isgro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-14.

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