Healthcare Provider Details

I. General information

NPI: 1669460234
Provider Name (Legal Business Name): ARBI MELIKIAN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18632 BEACH BLVD STE 100
HUNTINGTON BEACH CA
92648-2047
US

IV. Provider business mailing address

417 N JACKSON ST APT 3
GLENDALE CA
91206-3275
US

V. Phone/Fax

Practice location:
  • Phone: 818-720-9656
  • Fax:
Mailing address:
  • Phone: 818-720-9656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number12334
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: