Provider Demographics
NPI:1700257326
Name:MELINFUSION
Entity Type:Organization
Organization Name:MELINFUSION
Other - Org Name:MELINFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INFUSION
Authorized Official - Prefix:
Authorized Official - First Name:YEU
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-276-7166
Mailing Address - Street 1:3523 E ASHCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-2420
Mailing Address - Country:US
Mailing Address - Phone:209-276-7166
Mailing Address - Fax:
Practice Address - Street 1:3523 E ASHCROFT AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-2420
Practice Address - Country:US
Practice Address - Phone:209-276-7166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA623462251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion