Organization
PRACTICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAHE MELKONYAN MD (PRESIDENT)
(626) 318-2484
Entity
Organization
Contact information
Practice address
333 N HILL AVE, 101, PASADENA, CA 91106-1570
(626) 318-2484
Mailing address
257 S HUDSON AVE UNIT 304, PASADENA, CA 91101-4324
(626) 318-2484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A97645
CA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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