Doctor Name: | MELINDA LUZ AQUINO |
NPI Number: | 1033190970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A94731 |
Business Practice Address: | 1850 Sullivan Ave Suite 300 Daly City, CA - 940152221 |
Business Phone Number: | 6509911122 |
Business Fax Number: | |
Mailing Address: | Po Box 590455, SAN FRANCISCO |
State: | CA |
Postal Code: | 941590455 |
Phone Number: | 6509911122 |
Fax Number: | 4157441199 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | A94731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |