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NPI Code Detail

MEDICARE: JENIFER MELENDEZ

MEDICARE: JENIFER MELENDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1114867132
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER MELENDEZ
Provider Business Mailing Address
First Line : 14541 DELANO ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14541 DELANO ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2820
Country : US
Telephone Number : 877-515-8113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ JENIFER MELENDEZ ” Practice Location

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