Melamed Spine LLC
Physician Assistant, Surgical in Beverly Hills, CA. Organization (NPI-2).
NPI number1851736615
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1851736615
- Entity type
- Organization (NPI-2)
- Legal business name
- Melamed Spine LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2013
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
9777 Wilshire Blvd Ste 808Beverly Hills, CA 90212-1908
Phone 310-595-5040 · Fax 310-593-4360
Mailing address
Po Box 491518Los Angeles, CA 90049-9518
Phone 310-595-5040 · Fax 310-574-0422
Authorized official
Hooman Meir Melamed
President
3105955040
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