Healthcare Provider Details

I. General information

NPI: 1871147793
Provider Name (Legal Business Name): MELNIC & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N MAPLE DR STE 17773
BEVERLY HILLS CA
90210-3428
US

IV. Provider business mailing address

325 N MAPLE DR STE 17773
BEVERLY HILLS CA
90210-3428
US

V. Phone/Fax

Practice location:
  • Phone: 818-378-9549
  • Fax:
Mailing address:
  • Phone: 818-378-9549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATALYA NI MELNIC
Title or Position: RCM
Credential: RCM
Phone: 818-378-9549