Healthcare Provider Details

I. General information

NPI: 1861322794
Provider Name (Legal Business Name): MELISSA VALENCIA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W LA PALMA AVE
ANAHEIM CA
92801-2361
US

IV. Provider business mailing address

1317 S SANDY HILL DR
WEST COVINA CA
91791-3752
US

V. Phone/Fax

Practice location:
  • Phone: 714-796-8900
  • Fax:
Mailing address:
  • Phone: 714-796-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT4527
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: