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NPI 1942459730

NPI 1942459730 : MELISSA LORANG M.D. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1942459730
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA LORANG M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2008
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    12625 HIGH BLUFF DRIVE SUITE 202, SAN DIEGO CA 92130 SUITE 202
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92130
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    Country              |    US
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    Telephone            |    858-255-0849
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    Fax                  |    415-476-7722
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Provider Business Mailing Address
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    Address Line         |    8910 CLAIREMONT MESA BLVD 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92123
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    Country              |    US
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    Telephone            |    858-514-5100
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    Fax                  |    415-476-7722
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    A110124
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    A110124
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    License Number State |    CA
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