| Minas M Melidonian Md Inc | |
|
1509 Wilson Ter Glendale CA 91206-4007 | |
| (323) 485-4224 | |
| Not Available |
| Full Name | Minas M Melidonian Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1509 Wilson Ter, Glendale, California |
| Authorized Official Name and Position | Minas M Melidonian (PRESIDENT) |
| Authorized Official Contact | 3234854224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minas M Melidonian Md Inc 922 E Angeleno Ave Burbank CA 91501-1419 Ph: () - | Minas M Melidonian Md Inc 1509 Wilson Ter Glendale CA 91206-4007 Ph: (323) 485-4224 |
| NPI Number | 1154890127 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 3971849027 |
|---|---|
| Medicare Enrollment ID | O20190109003114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154890127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Minas M Melidonian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518254457 PECOS PAC ID: 2264659481 Enrollment ID: I20140812002601 |
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