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Contact Information

MELISSA GAGE
11234 ANDERSON ST
LOMA LINDA, CA92354-2804
 Phone: 909-558-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

1835P0200X
Indicates primary specialty

NPI Profile & details for MELISSA GAGE · (Female)

NPI Number 1235722190
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2021
Last updated 02/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 77018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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