Healthcare Provider Details

I. General information

NPI: 1497672042
Provider Name (Legal Business Name): MELINA GHARIBIAN DMD PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 E CHAPMAN AVE
ORANGE CA
92866-1620
US

IV. Provider business mailing address

717 E CHAPMAN AVE
ORANGE CA
92866-1620
US

V. Phone/Fax

Practice location:
  • Phone: 714-538-6763
  • Fax:
Mailing address:
  • Phone: 714-538-6763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MELINA GHARIBIAN
Title or Position: CEO
Credential: DMD
Phone: 949-345-5511