Provider Demographics
NPI:1134193105
Name:KURTULUS, MEL M (MD)
Entity type:Individual
Prefix:DR
First Name:MEL
Middle Name:M
Last Name:KURTULUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 GENESEE AVE STE 640
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1217
Mailing Address - Country:US
Mailing Address - Phone:858-677-0777
Mailing Address - Fax:858-677-0666
Practice Address - Street 1:9850 GENESEE AVE STE 640
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1217
Practice Address - Country:US
Practice Address - Phone:858-677-0777
Practice Address - Fax:858-677-0666
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72728207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B060OtherCHAMPUS
F044OtherCHAMPUS
160055711OtherRAILROAD MEDICARE
CA00A727280Medicaid
F044OtherCHAMPUS
CA00A727280Medicaid