Healthcare Provider Details

I. General information

NPI: 1861379455
Provider Name (Legal Business Name): MELINA URIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44349 LOWTREE AVE STE 111
LANCASTER CA
93534-4104
US

IV. Provider business mailing address

44349 LOWTREE AVE STE 111
LANCASTER CA
93534-4104
US

V. Phone/Fax

Practice location:
  • Phone: 661-228-0567
  • Fax: 205-509-5377
Mailing address:
  • Phone: 661-228-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: