Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cicera Lisboa de Melo

Individual provider Occupational Therapy Assistant · NPI 1154163368

Cicera Lisboa de Melo is an Occupational Therapy Assistant in Corona del Mar, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

708 Marigold Ave
Corona del Mar, CA 92625-2411
Phone: (978) 401-8494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2716 (CA)

Record details

NPI number1154163368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 9, 2024