Provider Demographics
NPI:1831718105
Name:GARIBYAN, MELINE
Entity type:Individual
Prefix:
First Name:MELINE
Middle Name:
Last Name:GARIBYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 W AVENUE J4 STE 203A
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4246
Mailing Address - Country:US
Mailing Address - Phone:661-522-3121
Mailing Address - Fax:
Practice Address - Street 1:936 W AVENUE J4 STE 203A
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4246
Practice Address - Country:US
Practice Address - Phone:661-522-3121
Practice Address - Fax:323-967-7799
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider