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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CALIFORNIA SPECIALTY MEDICAL GROUP

NPI # 1396991766
LBN Legal business name CALIFORNIA SPECIALTY MEDICAL GROUP
Authorized official ANAIDA MELKUMIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2008
Last updated 07/01/2011 - About 15 years ago
Identifiers
CA License # A87782
CA Other 1386684124 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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