| H Milano Mellon Md Inc | |
|
915 Myrtle Ave Inglewood CA 90301-4007 | |
| (310) 673-3133 | |
| (310) 673-4277 |
| Full Name | H Milano Mellon Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 915 Myrtle Ave, Inglewood, California |
| Authorized Official Name and Position | H Milano Mellon (OWNER) |
| Authorized Official Contact | 3106733133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H Milano Mellon Md Inc 915 Myrtle Ave Inglewood CA 90301-4007 Ph: (310) 673-3133 | H Milano Mellon Md Inc 915 Myrtle Ave Inglewood CA 90301-4007 Ph: (310) 673-3133 |
| NPI Number | 1003008103 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 2264567205 |
|---|---|
| Medicare Enrollment ID | O20100316001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003008103 | NPI | - | NPPES |
| A00307480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A30748 (California) | Primary |
| Provider Name | H Milano Mellon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669574802 PECOS PAC ID: 8325180060 Enrollment ID: I20100119000593 |
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