# CALIFORNIA SPECIALTY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1396991766
- **Authorized official:** DR. ANAIDA MELKUMIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 660-2647

## Contact information

- **Practice address:** 213 N ORANGE ST, SUITE E, GLENDALE, CA 91203-2648
- **Practice address phone:** (818) 660-2647
- **Practice address fax:** (323) 297-5220
- **Mailing address:** 213 N ORANGE ST, SUITE E, GLENDALE, CA 91203-2648
- **Mailing address phone:** (818) 660-2647
- **Mailing address fax:** (323) 297-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | A87782 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2008
- **Last updated:** 07/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1386684124 | NPI | CA |