Provider Demographics
NPI:1699917955
Name:BARNET G MELTZER MD INC
Entity type:Organization
Organization Name:BARNET G MELTZER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARNET
Authorized Official - Middle Name:G
Authorized Official - Last Name:MELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-481-7102
Mailing Address - Street 1:1011 CAMINO DEL MAR STE 234
Mailing Address - Street 2:SUITE 234
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2655
Mailing Address - Country:US
Mailing Address - Phone:858-481-7102
Mailing Address - Fax:858-481-1026
Practice Address - Street 1:1011 CAMINO DEL MAR STE 234
Practice Address - Street 2:SUITE 234
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2655
Practice Address - Country:US
Practice Address - Phone:858-481-7102
Practice Address - Fax:858-481-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG19625261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40704Medicare UPIN