Healthcare Provider Details

I. General information

NPI: 1679401178
Provider Name (Legal Business Name): MELVIN NOE CLAROS RT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 RINALDI ST STE 335
MISSION HILLS CA
91345-1237
US

IV. Provider business mailing address

14901 RINALDI ST STE 335
MISSION HILLS CA
91345-1237
US

V. Phone/Fax

Practice location:
  • Phone: 818-365-9690
  • Fax: 818-365-9199
Mailing address:
  • Phone: 818-365-9690
  • Fax: 818-365-9199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number49625
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: