Healthcare Provider Details

I. General information

NPI: 1255270336
Provider Name (Legal Business Name): MELINDA ALLYN BARR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 LINDSEY AVE
PICO RIVERA CA
90660-3251
US

IV. Provider business mailing address

6305 LINDSEY AVE
PICO RIVERA CA
90660-3251
US

V. Phone/Fax

Practice location:
  • Phone: 323-803-3226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number95038152
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number95038152
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number95038152
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number95038152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: