Healthcare Provider Details

I. General information

NPI: 1467335083
Provider Name (Legal Business Name): MELANIE NAJERA PUPIL PERSONAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W WESTWARD AVE
BANNING CA
92220-6171
US

IV. Provider business mailing address

4037 SUMMER WAY
CORONA CA
92883-3699
US

V. Phone/Fax

Practice location:
  • Phone: 951-922-0285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: