# SOLY MELAMED, M.D. A PROFESSIONAL MEDICAL CORP

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

## Provider details

- **NPI number:** 1346481975
- **Authorized official:** LUCY PEREZ (BILLING MANAGER)
- **Authorized official phone:** (310) 657-8585

## Contact information

- **Practice address:** 1030 S GLENDALE AVE, SUITE 405, GLENDALE, CA 91205-5612
- **Practice address phone:** (818) 241-4162
- **Practice address fax:** (818) 243-3368
- **Mailing address:** 150 N ROBERTSON BLVD, SUITE 205, BEVERLY HILLS, CA 90211-2142
- **Mailing address phone:** (310) 657-8585
- **Mailing address fax:** (310) 657-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A36708 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 04/01/2009