Individual ProviderOleg MelamedInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1245 16th St Ste 309, Santa Monica, CA 90404-1239(310) 319-4377(310) 301-8707PECOS EnrollmentBased on the most recent information from CMS, provider Oleg Melamed is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1326176108Provider TypeIndividualFull NameMelamed, OlegTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/1/2007Last Updated4/30/2024Contact InformationPractice LocationPractice Address1245 16th St Ste 309, Santa Monica, CA 90404-1239Phone(310) 319-4377FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone(310) 301-8707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA61637California