Petrossian, Melita Talene

Petrossian, Melita Talene is an individual health care provider with primary practice located at 1301 20Th St Ste 150 , Santa Monica CA 90404-2050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Petrossian, Melita Talene can be contacted via phone (310) 582-7433.

Contact Information

Primary practice address
1301 20Th St Ste 150 Santa Monica CA 90404-2050
Phone: (310) 582-7433
Fax: (310) 582-7495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A120954 California

Profile Details

NPI number 1790812162
LBN Legal business name Petrossian, Melita Talene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790812162 NPPES
California MEDICAID 1790812162

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