Individual ProviderEli Owen MeltzerSpecialistOther Service ProvidersPractice Address5776 Ruffin Rd, San Diego, CA 92123-1013(858) 292-1144PECOS EnrollmentBased on the most recent information from CMS, provider Eli Owen Meltzer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780602300Provider TypeIndividualFull NameMeltzer, Eli OwenCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/18/2006Last Updated5/5/2011Contact InformationPractice LocationPractice Address5776 Ruffin Rd, San Diego, CA 92123-1013Phone(858) 292-1144Fax(858) 268-5145Mailing LocationMailing Address5776 Ruffin Rd, San Diego, CA 92123-1013Phone(858) 292-1144Fax(858) 268-5145Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseG17138California