Healthcare Provider Details

I. General information

NPI: 1356254726
Provider Name (Legal Business Name): MELISSA PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 CENTER ST
HANFORD CA
93230-4408
US

IV. Provider business mailing address

185 N PEPPER ST
WOODLAKE CA
93286-1426
US

V. Phone/Fax

Practice location:
  • Phone: 559-415-6737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License NumberY1426391
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: