Provider Demographics
NPI:1427034370
Name:REED, MELANIE SUE (DPM)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:SUE
Last Name:REED
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1275 N ROSE DR
Mailing Address - Street 2:STE 136
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3941
Mailing Address - Country:US
Mailing Address - Phone:714-528-2252
Mailing Address - Fax:714-528-0739
Practice Address - Street 1:1275 N ROSE DR
Practice Address - Street 2:STE 136
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3941
Practice Address - Country:US
Practice Address - Phone:714-528-2252
Practice Address - Fax:714-528-0739
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3695213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA037848001OtherDMERC SUPPLER NUMBER
CA19003OtherDMERC CONTRACTOR NUMBER
CA19003OtherDMERC CONTRACTOR NUMBER
CAT95705Medicare UPIN