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NPI Code Detail

MEDICARE: MELODY ANN MENDENHALL N.P.

MEDICARE: MELODY ANN MENDENHALL N.P.
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
1207RH0003XHematology & Oncology Physician16776CA
2363L00000XNurse Practitioner622889CA

General Provider Information

NPI Number : 1568632503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY ANN MENDENHALL N.P.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 SANTA MONICA BLVD STE 600
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2131
Country : US
Telephone Number : 310-829-5471
Fax Number : 310-829-6192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 02/02/2026

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Directions to “ MELODY ANN MENDENHALL N.P.” Practice Location

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