Healthcare Provider Details

I. General information

NPI: 1386760478
Provider Name (Legal Business Name): MELA COUNSELING SERVICES CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N MONTEBELLO BLVD STE 100
MONTEBELLO CA
90640-4270
US

IV. Provider business mailing address

420 N MONTEBELLO BLVD STE 100
MONTEBELLO CA
90640-4270
US

V. Phone/Fax

Practice location:
  • Phone: 323-721-6855
  • Fax:
Mailing address:
  • Phone: 323-721-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6710
License Number StateCA

VIII. Authorized Official

Name: SALVADOR MELENDEZ
Title or Position: CEO
Credential:
Phone: 323-770-1848