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NPI Code Detail

MEDICARE: MELINA ANN DE LA ROSA RD

MEDICARE:   MELINA ANN DE LA ROSA  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133NN1002XNutrition Education Nutritionist86093831CA
2133V00000XRegistered Dietitian86093831CA

General Provider Information

NPI Number : 1003441031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINA ANN DE LA ROSA RD
Provider Business Mailing Address
First Line : 10308 CHANEY AVE
Second Line :
City : DOWNEY
State : CA
Zip : 90241-2824
Country : US
Telephone Number : 562-595-3497
Fax Number :
Provider Business Practice Location Address
First Line : 1414 E FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-1937
Country : US
Telephone Number : 323-588-1383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2020
Last Update Date : 07/25/2024

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Directions to “ MELINA ANN DE LA ROSA RD” Practice Location

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