Provider Demographics
NPI:1891595591
Name:ZENOR, MELANIE (DACM, LAC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:ZENOR
Suffix:
Gender:
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 YORK RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-2149
Mailing Address - Country:US
Mailing Address - Phone:619-800-1418
Mailing Address - Fax:
Practice Address - Street 1:7924 IVANHOE AVE STE 6
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4552
Practice Address - Country:US
Practice Address - Phone:760-583-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20165171100000X
CA74732225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist