Organization Active NPI

Melko Medical Diagnostic, Inc

  • Physiological Laboratory
  • Tarzana, CA
National Provider Identifier
1184693889
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MELKO MEDICAL DIAGNOSTIC, INC
Practice address
18143 Erwin St
Tarzana, CA 91335-7148
Phone
(818) 990-0555
Fax
(818) 990-0584
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alexander Kokhan, BS, RDMS, RDCS, RVT
Title
President
Phone
(818) 990-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

18143 Erwin St
Tarzana, CA 91335-7148

Mailing address

18143 Erwin St
Tarzana, CA 91335-7148
Phone (818) 448-8920

National Provider Directory

National Provider Directory

Locations

15335 Morrison St
Ste 130
Sherman Oaks, CA 91403
Phone (818) 990-0555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1184693889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18143 ERWIN ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913357148",
            "telephone_number": "818-448-8920",
            "fax_number": "818-990-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18143 ERWIN ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913357148",
            "telephone_number": "818-990-0555",
            "fax_number": "818-990-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELKO MEDICAL DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "KOKHAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-990-0555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, RDMS, RDCS, RVT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.