Healthcare Provider Details

I. General information

NPI: 1134431950
Provider Name (Legal Business Name): CHRISTINA MELISSA KEE M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA MELISSA CHAVEZ M.S.

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 BARRANCA PKWY
IRVINE CA
92604-4652
US

IV. Provider business mailing address

5050 BARRANCA PKWY
IRVINE CA
92604-4652
US

V. Phone/Fax

Practice location:
  • Phone: 949-936-5287
  • Fax:
Mailing address:
  • Phone: 562-578-8890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number62847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: