Individual provider · NPI-1

Melanie Abeyta, FNP

Nurse Practitioner · Los Angeles, CA

NPI number1629774435
StatusActive
Last updated in NPPESFeb 2, 2023

Details

NPI
1629774435
Entity type
Individual (NPI-1)
Name
Mrs. Melanie Abeyta
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 2, 2023
Certification date
Feb 2, 2023
Last updated
Feb 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95024128CAYes

Other names

  • Melanie Dishong (Former Name)

Practice location

11959 Santa Monica Blvd
Los Angeles, CA 90025-2748

Phone 424-372-9088

Mailing address

11959 Santa Monica Blvd
Los Angeles, CA 90025-2748

Phone 424-372-9088

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