Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 34235TLG | CA |
NPI | 1013470681 |
---|---|
Provider Name | Dr. Satenik Melkumyan |
First Address | Mission Hills, CA 91346-9602 |
Second Address | Mission Hills, CA 91345-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2019 |
Last Update Date | 20/01/2021 |