Provider Demographics
NPI:1659598381
Name:ARELLANO, MELANIE ADELINA (C9991214)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:ADELINA
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:C9991214
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:453 S INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-3908
Mailing Address - Country:US
Mailing Address - Phone:323-266-7726
Mailing Address - Fax:323-266-7742
Practice Address - Street 1:17727 E CYPRESS ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-2634
Practice Address - Country:US
Practice Address - Phone:626-858-4921
Practice Address - Fax:626-858-4923
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC9991214101YA0400X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)