Healthcare Provider Details

I. General information

NPI: 1982614392
Provider Name (Legal Business Name): HARMONY MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 N ORANGE ST SUITE E
GLENDALE CA
91203-2648
US

IV. Provider business mailing address

213 N ORANGE ST SUITE E
GLENDALE CA
91203-2648
US

V. Phone/Fax

Practice location:
  • Phone: 818-660-2647
  • Fax: 818-484-2536
Mailing address:
  • Phone: 818-660-2647
  • Fax: 818-484-2536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA91329
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA36023
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT10100
License Number StateCA

VIII. Authorized Official

Name: ANAIDA MELKUMIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-660-2647