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Organization
MELINDA D MESHAD
Active
Organization
MELINDA D MESHAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA MESHAD (OWNER)
(805) 660-1452
Entity
Organization
Contact information
Practice address
5777 W CENTURY BLVD STE 350, LOS ANGELES, CA 90045-5656
(805) 660-1452
Mailing address
8919 FLEETWING AVE, LOS ANGELES, CA 90045-4121
(805) 660-1452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64568
LCSW LICENSE
CA
Enumeration date
09/11/2018
Last updated
09/11/2018
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