Healthcare Provider Details

I. General information

NPI: 1366644676
Provider Name (Legal Business Name): MELISSA ANNE PUJAZON MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 ROSECRANS AVE FL 3
BELLFLOWER CA
90706-2246
US

IV. Provider business mailing address

9449 IMPERIAL HWY
DOWNEY CA
90242-2814
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-4110
  • Fax:
Mailing address:
  • Phone: 562-461-4110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA104965
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA104965
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: