Louise Melendez
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Crestline, CA
NPI 1073090775 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1073090775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 340 Hwy 138
Crestline, CA 92325 - Phone
- (909) 336-3330
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Counseling & Training, Inc. | Student in an Organized Health Care Education/Training Program | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
340 Hwy 138
Crestline, CA 92325
Mailing address
60400 Overture Dr
Palm Springs, CA 92262-1087
Phone (909) 266-6477
Other providers in Crestline, CA
- Charminade McCoy
- Betzaira McKelroy
- Dylan McKelroy
- Diana Jeanette Mejia
- Jennifer Melendez
- Jessica L Meyle
- Cailey Anne Milton
- Michael J. Morris
- Mountain Counseling & Training, Inc.
- Mountain High School
All providers in Crestline, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.