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NPI Code Detail

MEDICARE: MRS. MELANYA GRIGORYAN MSW

MEDICARE: MRS. MELANYA GRIGORYAN MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1538354493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANYA GRIGORYAN MSW
Provider Business Mailing Address
First Line : 239 N ISABEL ST APT 5
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4369
Country : US
Telephone Number : 818-548-6291
Fax Number :
Provider Business Practice Location Address
First Line : 4018 CITY TERRACE DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-1242
Country : US
Telephone Number : 323-268-3219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 09/12/2007

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