Provider Demographics
NPI:1952489155
Name:MELKONIAN, ARPI B
Entity Type:Individual
Prefix:DR
First Name:ARPI
Middle Name:B
Last Name:MELKONIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARPI
Other - Middle Name:B
Other - Last Name:MELKONIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26691 PLAZA
Mailing Address - Street 2:#160
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6329
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26691 PLAZA
Practice Address - Street 2:#160
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6329
Practice Address - Country:US
Practice Address - Phone:949-441-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25531103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist