Individual
MR. CHRISTIAN ANDRES MELLIBOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
909 LUCILE AVE, LOS ANGELES, CA 90026-1511
(323) 663-8281
Mailing address
19573 PINE VALLEY AVE, NORTHRIDGE, CA 91326-1465
(818) 723-0724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14593
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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