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H MILANO MELLON MD INC NPI 1003008103


NPI Profile

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
Get Directions

Phone: (310) 673-3133

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineA30748CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A26216MEDICARE UPIN
2A30748MEDICARE PINCALIFORNIA
3A00307480MEDICAIDCALIFORNIA

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: 9/13/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.