Provider Demographics
NPI:1730502360
Name:DR LOUSINE MELIK-ADAMYAN INC
Entity type:Organization
Organization Name:DR LOUSINE MELIK-ADAMYAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIK-ADAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-916-7166
Mailing Address - Street 1:PO BOX 2734
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-7734
Mailing Address - Country:US
Mailing Address - Phone:562-626-8016
Mailing Address - Fax:562-626-8017
Practice Address - Street 1:5300 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2808
Practice Address - Country:US
Practice Address - Phone:562-445-4443
Practice Address - Fax:562-445-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1962679266OtherINDIVIDUAL NPI
CACB212818Medicare PIN