Individual provider · Type 1 NPI

Melissa Nicole Agena

Student in an Organized Health Care Education/Training Program · Costa Mesa, CA

NPI number 1619665338 Active

Practice location

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757

Call (949) 743-1457 Map

Mailing address

801 Spring Loop Apt 1305
College Station, TX 77840-7899

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619665338

Melissa Nicole Agena's National Provider Identifier is 1619665338, issued on May 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Costa Mesa, CA. The record was last updated on May 11, 2026.