| Melodia Aquino-eliazo Md Corporation | |
|
1045 R St Fresno CA 93721-1312 | |
| (559) 268-9737 | |
| (559) 268-0279 |
| Full Name | Melodia Aquino-eliazo Md Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1045 R St, Fresno, California |
| Authorized Official Name and Position | Melodia Aquino Eliazo (M.D./PRESIDENT) |
| Authorized Official Contact | 5592689737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melodia Aquino-eliazo Md Corporation 1045 R St Fresno CA 93721-1312 Ph: (559) 268-9737 | Melodia Aquino-eliazo Md Corporation 1045 R St Fresno CA 93721-1312 Ph: (559) 268-9737 |
| NPI Number | 1881706521 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881706521 | NPI | - | NPPES |
| 00A424141 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A42414 (California) | Primary |
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