Provider Demographics
NPI:1417408196
Name:MELIKYAN, VAHE (NMD)
Entity Type:Individual
Prefix:DR
First Name:VAHE
Middle Name:
Last Name:MELIKYAN
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10622 REDMONT AVE
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-1532
Mailing Address - Country:US
Mailing Address - Phone:619-252-5314
Mailing Address - Fax:
Practice Address - Street 1:116 N ARTSAKH AVE STE 120
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4771
Practice Address - Country:US
Practice Address - Phone:619-252-5314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND829175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath