Organization
MELROSE GROUP LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALT YBARRA (OWNER)
(714) 970-0036
Entity
Organization
Contact information
Practice address
1253 N COMMONWEALTH AVE, LOS ANGELES, CA 90029-2003
(714) 970-0036
Mailing address
1247 N LAKEVIEW AVE STE B, ANAHEIM, CA 92807-1833
(714) 970-0036
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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