Moody, Melodi M

Moody, Melodi M is an sole proprietor health care provider with primary practice located at 1141 W Redondo Beach Blvd Ste 402 , Gardena CA 90247-3582. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moody, Melodi M can be contacted via phone (310) 329-9492.

Contact Information

Primary practice address
1141 W Redondo Beach Blvd Ste 402 Gardena CA 90247-3582
Phone: (310) 329-9492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 574386 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16942 California

Profile Details

NPI number 1225179062
LBN Legal business name Moody, Melodi M
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jan 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225179062 NPPES
California MEDICAID RN 574386

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