Provider Demographics
NPI:1154499176
Name:MELIN PEREL, BETH MERYL (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:MERYL
Last Name:MELIN PEREL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:MELIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7345 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1963
Mailing Address - Country:US
Mailing Address - Phone:818-883-0460
Mailing Address - Fax:818-883-2993
Practice Address - Street 1:7345 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1963
Practice Address - Country:US
Practice Address - Phone:818-883-0460
Practice Address - Fax:818-883-2993
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC43094208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics