Provider Demographics
NPI:1932496551
Name:MUELLER, MELISSA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MARIA
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 N SEPULVEDA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2735
Practice Address - Country:US
Practice Address - Phone:310-546-4599
Practice Address - Fax:310-796-4941
Is Sole Proprietor?:No
Enumeration Date:2011-07-03
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA117251208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine