DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. MELISSA CLARICE PORTER

MEDICARE: MS. MELISSA CLARICE PORTER
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1942153788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA CLARICE PORTER
Provider Business Mailing Address
First Line : 611 N BRAND BLVD STE 100
Second Line :
City : GLENDALE
State : CA
Zip : 91203-3240
Country : US
Telephone Number : 747-286-2600
Fax Number :
Provider Business Practice Location Address
First Line : 611 N BRAND BLVD STE 100
Second Line : #100
City : GLENDALE
State : CA
Zip : 91203-3240
Country : US
Telephone Number : 747-286-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

Similar Medicare Providers

1720932189 — KRYSTA WISNER
Practice Location Address:
611 N BRAND BLVD STE 100
GLENDALE, CA
91203-3240
Practice Phone: 747-286-2600
Practice Fax:
1912851205 — ABIGAIL OQUENDO
Practice Location Address:
611 N BRAND BLVD STE 100
GLENDALE, CA
91203-3240
Practice Phone: 954-804-9213
Practice Fax:
1962355396 — MALENA BEYGI
Practice Location Address:
611 N BRAND BLVD STE 100
GLENDALE, CA
91203-3240
Practice Phone: 747-286-2600
Practice Fax:
1346192556 — MARTN KYLE POBLETE CALINGO
Practice Location Address:
611 N BRAND BLVD STE 100
GLENDALE, CA
91203-3240
Practice Phone: 747-286-2600
Practice Fax:
1720237027 — CHARLENE LATOYA JORDAN-MAPP
Practice Location Address:
611 N BRAND BLVD STE 100
GLENDALE, CA
91203-3240
Practice Phone: 747-286-2600
Practice Fax:
1164850418 — MISS ZETH ANNE R CRUZ M.A., SLPA
Practice Location Address:
611 N BRAND BLVD STE 100
GLENDALE, CA
91203-3240
Practice Phone: 747-286-2600
Practice Fax:

Directions to “ MS. MELISSA CLARICE PORTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.