Provider Demographics
NPI:1588865489
Name:AOKI, MELANIE F (PHD)
Entity type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:F
Last Name:AOKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:847 16TH ST
Mailing Address - Street 2:APT # A
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1881
Mailing Address - Country:US
Mailing Address - Phone:310-829-4480
Mailing Address - Fax:
Practice Address - Street 1:9449 IMPERIAL HWY
Practice Address - Street 2:4TH FLOOR, PAIN MANAGEMENT DEPT
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2814
Practice Address - Country:US
Practice Address - Phone:562-657-2860
Practice Address - Fax:562-657-2446
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 19056103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral