| California Specialty Medical Group | |
|
213 N Orange St Suite E Glendale CA 91203-2648 | |
| (818) 660-2647 | |
| (323) 297-5220 |
| Full Name | California Specialty Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 213 N Orange St, Glendale, California |
| Authorized Official Name and Position | Anaida Melkumian (PRESIDENT) |
| Authorized Official Contact | 8186602647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Specialty Medical Group 213 N Orange St Suite E Glendale CA 91203-2648 Ph: (818) 660-2647 | California Specialty Medical Group 213 N Orange St Suite E Glendale CA 91203-2648 Ph: (818) 660-2647 |
| NPI Number | 1396991766 |
|---|---|
| Provider Enumeration Date | 08/17/2008 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396991766 | NPI | - | NPPES |
| 1386684124 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | A87782 (California) | Primary |
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