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Individual

DR. LALEH GOLKAR MELSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 EAST DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
256669
NY
208600000X
Surgery Physician
36114503
IL
208600000X
Surgery Physician
Primary
C134979
CA
2086X0206X
Surgical Oncology Physician
C134979
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0303381
NJ
Enumeration date
07/30/2008
Last updated
11/17/2020
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