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NPI Code Detail

MEDICARE: MELISSA A GIBSON PPS

MEDICARE: MELISSA A GIBSON PPS
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
1101YS0200XSchool Counselor230106943CA

General Provider Information

NPI Number : 1669304663
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA A GIBSON PPS
Provider Business Mailing Address
First Line : 5050 BARRANCA PKWY
Second Line :
City : IRVINE
State : CA
Zip : 92604-4652
Country : US
Telephone Number : 949-936-5287
Fax Number :
Provider Business Practice Location Address
First Line : 5050 BARRANCA PKWY
Second Line :
City : IRVINE
State : CA
Zip : 92604-4652
Country : US
Telephone Number : 949-936-5287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ MELISSA A GIBSON PPS” Practice Location

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