MEDICARE: DANIEL MELENDREZ

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
1	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1568353878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MELENDREZ

Provider Business Mailing Address
First Line	:	447 N EL MOLINO AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 ATLANTIC AVE STE 103
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3529
Country	:	US
Telephone Number	:	562-264-6001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	06/15/2026

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Directions to “ DANIEL MELENDREZ ” Practice Location

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