H MILANO MELLON MD INC NPI 1003008103

NPI Information

NPI: 1003008103
Provider Name: H MILANO MELLON MD INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 05D2210228

Address:
915 MYRTLE AVE
INGLEWOOD, CA
ZIP 90301
Phone: (310) 673-3133
Get Directions

H MILANO MELLON MD INC is an adult medicine family medicine in Inglewood, CA. The provider is definition to come. H MILANO MELLON MD INC NPI is 1003008103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

915 MYRTLE AVE
INGLEWOOD, CA
ZIP 90301-007
Phone: (310) 673-3133
Fax: (310) 673-4277

The provider's authorized official is H Milano Mellon .
The authorized official title is Owner and has the following contact phone number (310) 673-3133.

The CLIA number assigned to this NPI record is 05D2210228 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 3/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	A30748	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A26216	MEDICARE UPIN
2	A30748	MEDICARE PIN	CALIFORNIA
3	A00307480	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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