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NPI Code Detail

MEDICARE: MELANIE DE HARO

MEDICARE:   MELANIE  DE HARO
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1801366547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE DE HARO
Provider Business Mailing Address
First Line : 1360 S ANAHEIM BLVD STE 101
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6258
Country : US
Telephone Number : 714-948-7641
Fax Number :
Provider Business Practice Location Address
First Line : 1360 S ANAHEIM BLVD # 101
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6205
Country : US
Telephone Number : 714-948-7641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2018
Last Update Date : 01/21/2026

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Directions to “ MELANIE DE HARO ” Practice Location

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