Provider Demographics
NPI:1710196373
Name:MELERO, OSCAR C (MS, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:C
Last Name:MELERO
Suffix:
Gender:M
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 COURT ST
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5466
Mailing Address - Country:US
Mailing Address - Phone:415-775-6626
Mailing Address - Fax:415-775-5637
Practice Address - Street 1:1055 ELLIS ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-7716
Practice Address - Country:US
Practice Address - Phone:415-775-6626
Practice Address - Fax:415-775-5637
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer