1033143359 NPI number — DR. MELINEH ASLANIAN D.P.M.

Table of content: DR. MELINEH ASLANIAN D.P.M. (NPI 1033143359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033143359 NPI number — DR. MELINEH ASLANIAN D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASLANIAN
Provider First Name:
MELINEH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033143359
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 E GLENOAKS BLVD STE 104
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91207-2132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-500-0267
Provider Business Mailing Address Fax Number:
818-500-0278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
125 E GLENOAKS BLVD STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91207-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-500-0267
Provider Business Practice Location Address Fax Number:
818-500-0278
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213EP1101X , with the licence number:  E3994 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 954672810 . This is a "AETNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "CIGNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "HEALTHNET" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "TRICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "MOTION PICTURE INDUSTRY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "UHP HEALTHCARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "ELCA HEALTH PLAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "REGAL MEDICAL GROUP" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "CBCA ADMINISTRATORS, INC" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 000E39940 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 954672810 . This is a "BLUE SHIELD OF CA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "AARP" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "DEFINITY HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "DELTA HEALTH SYSTEMS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "PHYSICIAN ASSOCIATES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "BLUE CROSS OF CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 954672810 . This is a "PACIFICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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