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NPI Code Detail

MEDICARE: MELITA WILEY

MEDICARE:   MELITA  WILEY
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
1106H00000XMarriage & Family Therapist155639CA

General Provider Information

NPI Number : 1932072113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELITA WILEY
Provider Business Mailing Address
First Line : 680 E COLORADO BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91101-6143
Country : US
Telephone Number : 323-301-1598
Fax Number :
Provider Business Practice Location Address
First Line : 680 E COLORADO BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91101-6143
Country : US
Telephone Number : 323-301-1598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 12/18/2025

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Directions to “ MELITA WILEY ” Practice Location

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