MEDICARE: MRS. ANAIDA MELKUMIAN MD

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	207Q00000X	Family Medicine Physician	A91329	CA
2	208D00000X	General Practice Physician	A91329	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275584898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANAIDA MELKUMIAN MD

Provider Business Mailing Address
First Line	:	2865 ATLANTIC AVE
Second Line	:	STE 223
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1740
Country	:	US
Telephone Number	:	562-595-6770
Fax Number	:	562-595-5553

Provider Business Practice Location Address
First Line	:	2865 ATLANTIC AVE
Second Line	:	223
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1740
Country	:	US
Telephone Number	:	562-595-6770
Fax Number	:	562-595-6770

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/15/2014

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