Provider Demographics
NPI:1184121022
Name:HALAS-LIANG, MELISSA (MA, RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:HALAS-LIANG
Suffix:
Gender:F
Credentials:MA, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 S GRAND OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-5015
Mailing Address - Country:US
Mailing Address - Phone:626-818-6299
Mailing Address - Fax:
Practice Address - Street 1:200 E DEL MAR BLVD STE 210
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2551
Practice Address - Country:US
Practice Address - Phone:626-872-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-08
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered