Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC28821 | CA |
NPI | 1003900408 |
---|---|
Provider Name | Valentine Melikian |
First Address | Glendale, CA 91203-1403 |
Second Address | Glendale, CA 91203-1403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |