Individual
ALEZAIHVIA MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12227 AVALON BLVD, LOS ANGELES, CA 90061-2811
(213) 348-4108
Mailing address
12227 AVALON BLVD, LOS ANGELES, CA 90061-2811
(213) 348-4108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JQC92590713D
—
CA
Enumeration date
08/21/2018
Last updated
05/17/2024
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