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Michael A Mellenthin Md Pc

Anesthesiology

Allopathic & Osteopathic Physicians

3900 Sandhill Rd, Woodside, CA 94062-1231

PECOS Enrollment

Based on the most recent information from CMS, provider Michael A Mellenthin Md Pc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023476967
Provider Type
Organization
Full Name
Michael A Mellenthin Md Pc

Subpart
No
Enumeration Date
2/7/2016
Last Updated
2/7/2016

Contact Information

Practice Location

3900 Sandhill Rd, Woodside, CA 94062-1231

(650) 996-4813

(650) 618-1752

Mailing Location

3900 Sandhill Rd, Woodside, CA 94062-1231

(650) 996-4813

(650) 618-1752

Authorized Official

Mellenthin, Michael Alfred (Ceo)

(650) 996-4813

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License G58951 California

Michael A Mellenthin Md Pc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Cohen, Aviva

Jacklyn Tran-Nguyen Md Inc

Sequoia Anesthesia Consultants

Coe, Vicki Lynn

Daniel Parnell, M.D., Inc.

West Bay Anesthesia Medical Group, Inc.

Robert B Fisher M D Inc

Nishimura, Tad

Shin, Maung Tun

Reinking, Debra Ann