| Organization Name: | SOLY MELAMED, M.D. A PROFESSIONAL MEDICAL CORP |
| NPI Number: | 1346481975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCY PEREZ (BILLING MANAGER) |
| Mailing Address: | 1030 S Glendale Ave Suite 405 Glendale |
| State: | CA US |
| Postal Code: | 912055612 |
| Phone Number: | 8182414162 |
| Fax Number: | 8182433368 |
| NPI Enumeration Date: | 03/11/2009 |
| NPI Last Update Date: | 04/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A36708 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |