GM Medline

Primary specialty

AmbulanceTaxonomy code 341600000X

License

201102951 Issued in CA

Legal business name

GM MEDLINE

Practice address

716 N Valley St
Anaheim, CA 92801-3829

Phone

(323) 320-1933

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Garik Melkonyan

Title

Owner/Ceo

Phone

(323) 320-1933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1790041432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N VALLEY ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N VALLEY ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013829",
            "telephone_number": "323-320-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM MEDLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "MELKONYAN",
        "authorized_official_first_name": "GARIK",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "323-320-1933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "201102951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.