MEDICARE: MELANIE REYES

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
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1790037661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE REYES

Provider Business Mailing Address
First Line	:	1515 W MISSION RD
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-1618
Country	:	US
Telephone Number	:	626-943-3410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 N. RAYMOND AVE.
Second Line	:	BLDG. 2-7
City	:	PASADENA
State	:	CA
Zip	:	91103-9110
Country	:	US
Telephone Number	:	626-396-5920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2012
Last Update Date	:	01/06/2026

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Directions to “ MELANIE REYES ” Practice Location

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