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General NPI Number Information
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NPI Number | 1679125413
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Entity Type | Individual
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Provider Name | MRS. MELANIE SUE DREHER
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2950 SYCAMORE DR
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1232
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Country | US
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Telephone | 805-955-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 601 CAMINO DEL CIELO
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City | NEWBURY PARK
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State | CA
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Zip | 91320-6734
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Country | US
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Telephone | 805-955-7060
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95026226
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License Number State | CA
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