# MELROSE FAMILY CARE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083911523
- **Authorized official:** ARTIS WOODWARD MD (CEO)
- **Authorized official phone:** (323) 466-0263

## Contact information

- **Practice address:** 5235 MELROSE AVE, LOS ANGELES, CA 90038-3144
- **Practice address phone:** (323) 466-0263
- **Practice address fax:** (323) 466-1034
- **Mailing address:** 5235 MELROSE AVE, LOS ANGELES, CA 90038-3144
- **Mailing address phone:** (323) 466-0263
- **Mailing address fax:** (323) 466-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A40488 | CA | Yes |
| 261QP3300X | Pain Clinic/Center | A40488 | CA | — |

## Other

- **Enumeration date:** 02/18/2011
- **Last updated:** 02/18/2011