Provider Demographics
NPI:1528075827
Name:MELIN, JUNE D (MD)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:D
Last Name:MELIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 BUNKER HILL ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5706
Mailing Address - Country:US
Mailing Address - Phone:858-581-0081
Mailing Address - Fax:858-581-2510
Practice Address - Street 1:3023 BUNKER HILL ST STE 205
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-5706
Practice Address - Country:US
Practice Address - Phone:858-581-0081
Practice Address - Fax:858-581-2510
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56038174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0360118OtherTAX ID #
CA00G560380Medicaid