Healthcare Provider Details

I. General information

NPI: 1740953249
Provider Name (Legal Business Name): MELODY CRYSTAL ALBARRAN-SLOVIN DNP, CPNP-PC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4060 FAIRMOUNT AVE
SAN DIEGO CA
92105-1608
US

IV. Provider business mailing address

4060 FAIRMOUNT AVE
SAN DIEGO CA
92105-1608
US

V. Phone/Fax

Practice location:
  • Phone: 619-280-4213
  • Fax:
Mailing address:
  • Phone: 619-280-4213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number95103701
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: