Organization
CALIFORNIA SPECIALTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAIDA MELKUMIAN MD (PRESIDENT)
(818) 660-2647
Entity
Organization
Contact information
Practice address
213 N ORANGE ST, SUITE E, GLENDALE, CA 91203-2648
(818) 660-2647
(323) 297-5220
Mailing address
213 N ORANGE ST, SUITE E, GLENDALE, CA 91203-2648
(818) 660-2647
(323) 297-5220
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
A87782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386684124
NPI
CA
Enumeration date
08/17/2008
Last updated
07/01/2011
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