Individual
MINAS MIKE MELIDONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(323) 485-4224
Mailing address
1509 WILSON TER, GLENDALE, CA 91206-4007
(323) 485-4224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098205
MI
208M00000X
Hospitalist Physician
Primary
A130090
CA
Other
Enumeration date
06/29/2011
Last updated
10/12/2021
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