MEDICARE: DR. VATCHE JAMES MELKONIAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	DR.0069667	CO

General Provider Information

NPI Number	:	1215431317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VATCHE JAMES MELKONIAN DO

Provider Business Mailing Address
First Line	:	8737 BEVERLY BLVD STE 101
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1835
Country	:	US
Telephone Number	:	310-289-9224
Fax Number	:

Provider Business Practice Location Address
First Line	:	8737 BEVERLY BLVD STE 101
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1835
Country	:	US
Telephone Number	:	310-289-9224
Fax Number	:	310-289-8995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2018
Last Update Date	:	07/25/2025

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