Healthcare Provider Details

I. General information

NPI: 1639097975
Provider Name (Legal Business Name): MELIORA MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E COLORADO ST UNIT 480A
GLENDALE CA
91205-5117
US

IV. Provider business mailing address

425 E COLORADO ST UNIT 480A
GLENDALE CA
91205-5117
US

V. Phone/Fax

Practice location:
  • Phone: 562-591-2785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NAIRA HARUTJUNJAN
Title or Position: CEO
Credential:
Phone: 562-591-2785