person
Mr. Vladislav Melnichenko, NP
Adult Health Nurse Practitioner in Canoga Park, California
NPI 1528348273

Vladislav Melnichenko is an Adult Health Nurse Practitioner based in Pasadena, CA and is specialized in Adult Health. Vladislav Melnichenko practices in Canoga Park, CA and has the professional credentials of NP. The NPI Number for Vladislav Melnichenko is 1528348273 and holds a License No. NP21140 (California).

The current practice location address for Vladislav Melnichenko is 7018 Owensmouth Ave Ste 102, Canoga Park, CA and can be reached out via phone at 747-755-5072 and via fax at 747-755-5073.

Location: 7018 Owensmouth Ave Ste 102, Canoga Park, CA, 91105-2665
person
Provider Profile Details
NPI Number
1528348273
Provider Name
Vladislav Melnichenko
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
7018 Owensmouth Ave Ste 102, Canoga Park, CA, 91105-2665
Phone Number
747-755-5072
Fax Number
747-755-5073
Provider Enumeration Date
08/25/2011
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HE356A 01 CA NORTHERN MCAR PIN
institution
Provider Business Practice Location Address Details
Address
7018 Owensmouth Ave Ste 102
City
State
Zip
91303-4239
Phone Number
747-755-5072
Fax Number
747-755-5073
person
Provider Business Mailing Address Details
Address
7018 Owensmouth Ave Ste 102
City
State
Zip
91303-4239
Phone Number
747-755-5072
Fax Number
747-755-5073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
NP21140 (California)
Definition
Definition to come...
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