Provider Demographics
NPI:1093752248
Name:ANGELES-RIPARIP, MELODY L (MD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:L
Last Name:ANGELES-RIPARIP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 W MERCED AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3402
Mailing Address - Country:US
Mailing Address - Phone:626-856-5500
Mailing Address - Fax:626-856-5550
Practice Address - Street 1:1433 W MERCED AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3402
Practice Address - Country:US
Practice Address - Phone:626-856-5500
Practice Address - Fax:626-856-5550
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74398207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85319Medicare UPIN