| Anna Mellor Md Inc | |
|
602 Deep Valley Dr Ste 314 Rolling Hills Estates CA 90274-3745 | |
| (310) 645-1024 | |
| Not Available |
| Full Name | Anna Mellor Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 602 Deep Valley Dr Ste 314, Rolling Hills Estates, California |
| Authorized Official Name and Position | Anna Mellor (OWNER) |
| Authorized Official Contact | 3106451024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Mellor Md Inc 24325 Crenshaw Blvd # 209 Torrance CA 90505-5349 Ph: (310) 645-1024 | Anna Mellor Md Inc 602 Deep Valley Dr Ste 314 Rolling Hills Estates CA 90274-3745 Ph: (310) 645-1024 |
| NPI Number | 1285210070 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 2466860739 |
|---|---|
| Medicare Enrollment ID | O20210427000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285210070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anna Mellor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316998776 PECOS PAC ID: 4789617200 Enrollment ID: I20051115001103 |
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