Provider Demographics
NPI:1295605442
Name:CHEN, MELODY SONG JEI
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:SONG JEI
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13860 RIO BRAVO AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-7492
Mailing Address - Country:US
Mailing Address - Phone:626-438-7040
Mailing Address - Fax:
Practice Address - Street 1:721 NEVADA ST STE 306
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8053
Practice Address - Country:US
Practice Address - Phone:909-572-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula