Healthcare Provider Details

I. General information

NPI: 1811830177
Provider Name (Legal Business Name): MELISSA SALAS LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E CHAPMAN AVE APT 62E
PLACENTIA CA
92870-4629
US

IV. Provider business mailing address

201 E CHAPMAN AVE APT 62E
PLACENTIA CA
92870-4629
US

V. Phone/Fax

Practice location:
  • Phone: 805-905-1550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN756278
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: