Provider Demographics
NPI:1851388003
Name:MELE, JOSEPH A III (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:MELE
Suffix:III
Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:130 LA CASA VIA
Mailing Address - Street 2:BUILDING 2, SUITE 206
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3045
Mailing Address - Country:US
Mailing Address - Phone:925-943-6353
Mailing Address - Fax:925-977-6989
Practice Address - Street 1:130 LA CASA VIA
Practice Address - Street 2:BUILDING 2, SUITE 206
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3045
Practice Address - Country:US
Practice Address - Phone:925-943-6353
Practice Address - Fax:925-977-6989
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG069183208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G691830Medicaid
CA00G691830Medicaid
CAG46739Medicare UPIN