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NPI Code Detail

MEDICARE: MELODY JON

MEDICARE:   MELODY  JON
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker136366CA

General Provider Information

NPI Number : 1316757016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY JON
Provider Business Mailing Address
First Line : 235 S RAMPART BLVD APT 111
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-1452
Country : US
Telephone Number : 213-369-8917
Fax Number :
Provider Business Practice Location Address
First Line : 711 W COLLEGE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-1163
Country : US
Telephone Number : 213-235-4845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2025
Last Update Date : 04/06/2026

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Directions to “ MELODY JON ” Practice Location

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