Individual provider · NPI-1

Melanie Alva-Medina, PA-C

Physician Assistant · Pomona, CA

NPI number1083576771
StatusActive
Last updated in NPPESDec 1, 2025

Details

NPI
1083576771
Entity type
Individual (NPI-1)
Name
Melanie Alva-Medina
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2025
Certification date
Dec 1, 2025
Last updated
Dec 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA67371CAYes

Practice location

2055 N Garey Ave
Pomona, CA 91767-2775

Phone 909-868-1620

Mailing address

2055 N Garey Ave
Pomona, CA 91767-2775

Phone 909-868-1620

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