Provider Demographics
NPI:1497077283
Name:PADILLA-NGUYEN, MELODY RAMOS (DO)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:RAMOS
Last Name:PADILLA-NGUYEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:RAMOS
Other - Last Name:PADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:450 E SPRING ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1625
Mailing Address - Country:US
Mailing Address - Phone:562-933-0050
Mailing Address - Fax:562-933-0079
Practice Address - Street 1:450 E SPRING ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1625
Practice Address - Country:US
Practice Address - Phone:562-933-0050
Practice Address - Fax:562-933-0079
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10959207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine