Provider Demographics
NPI:1710022611
Name:MELAND, DONALD ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALBERT
Last Name:MELAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 LAUGHLIN PARK DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-1711
Mailing Address - Country:US
Mailing Address - Phone:888-692-5053
Mailing Address - Fax:323-666-8834
Practice Address - Street 1:153 S LASKY DR
Practice Address - Street 2:SUITE 8
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1721
Practice Address - Country:US
Practice Address - Phone:888-692-5053
Practice Address - Fax:323-666-8834
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG687532084F0202X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry