Provider Demographics
NPI:1700206182
Name:LAFIAN, ANNA MELKONYAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MELKONYAN
Last Name:LAFIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:MELKONYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1505 WILSON TER STE 315
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4077
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1505 WILSON TER STE 315
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4077
Practice Address - Country:US
Practice Address - Phone:818-696-8767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A14592207R00000X
CA2OA14592207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine