Healthcare Provider Details

I. General information

NPI: 1952214827
Provider Name (Legal Business Name): MELISSA CAMPOS CD-L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 BURKE ST UNIT 9
PICO RIVERA CA
90660-4616
US

IV. Provider business mailing address

9010 BURKE ST UNIT 9
PICO RIVERA CA
90660-4616
US

V. Phone/Fax

Practice location:
  • Phone: 562-544-1725
  • Fax:
Mailing address:
  • Phone: 562-544-1725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberLABOR10548
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: