National Provider Identifier Database

CALIFORNIA SPECIALTY MEDICAL GROUP
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CALIFORNIA SPECIALTY MEDICAL GROUP
213 N ORANGE ST
SUITE E
GLENDALE, CA91203-2648
Phone: 818-660-2647
Fax: 323-297-5220
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for CALIFORNIA SPECIALTY MEDICAL GROUP

NPI Number 1396991766
Legal business name
LBN
CALIFORNIA SPECIALTY MEDICAL GROUP
Authorized official ANAIDA MELKUMIAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/17/2008
Last updated 07/01/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A87782
  • CA Other: 1386684124 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CALIFORNIA SPECIALTY MEDICAL GROUP

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