Provider Demographics
NPI:1033190970
Name:AQUINO, MELINDA LUZ (MD)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:LUZ
Last Name:AQUINO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 590455
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94159-0455
Mailing Address - Country:US
Mailing Address - Phone:650-991-1122
Mailing Address - Fax:415-744-1199
Practice Address - Street 1:2250 HAYES ST STE 612
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1078
Practice Address - Country:US
Practice Address - Phone:415-752-1122
Practice Address - Fax:415-744-1199
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2019-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA947312086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery