Provider Demographics
NPI:1518718295
Name:MELNYK, ANDRIY (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDRIY
Middle Name:
Last Name:MELNYK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15027 SHERMAN WAY UNIT D
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5013
Mailing Address - Country:US
Mailing Address - Phone:323-866-9972
Mailing Address - Fax:
Practice Address - Street 1:15027 SHERMAN WAY UNIT D
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-5013
Practice Address - Country:US
Practice Address - Phone:323-866-9972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor