Organization
JIVAN MELIKIAN M D. INC
Active
Organization
JIVAN MELIKIAN M D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIVAN MELIKIAN M.D. (PHYSICIAN)
(818) 546-8644
Entity
Organization
Contact information
Practice address
1530 E CHEVY CHASE DR, SUITE 206, GLENDALE, CA 91206-4163
(818) 546-8644
(818) 546-2494
Mailing address
1530 E CHEVY CHASE DR, SUITE 206, GLENDALE, CA 91206-4163
(818) 546-8644
(818) 546-2494
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A45112
—
CA
01
—
A45112
PTAN
CA
Enumeration date
05/06/2011
Last updated
11/29/2022
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