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JACOB VINCENT ISAIAS MELENDEZ D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1104330596
Individual Registrant: JACOB VINCENT ISAIAS MELENDEZ D.C.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
120 BIRMINGHAM DR STE 100 CARDIFF, CA 92007-1744 US
Tel: 760-944-0563 Fax: --
Tel: 760-944-0563 Fax: --
Contact information for business:
120 BIRMINGHAM DR STE 100 CARDIFF, CA 92007-1744 US
Tel: 760-944-0563 Fax: --
Tel: 760-944-0563 Fax: --
Registration Information:
NPI: 1104330596
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | 34033 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
