| Demello Medical Corporation | |
|
520 Arizona Ave Santa Monica CA 90401-1408 | |
| (310) 451-8880 | |
| (310) 451-8803 |
| Full Name | Demello Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 520 Arizona Ave, Santa Monica, California |
| Authorized Official Name and Position | Edison V Demello (OWNER) |
| Authorized Official Contact | 3104518880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demello Medical Corporation 520 Arizona Ave Santa Monica CA 90401-1408 Ph: (310) 451-8880 | Demello Medical Corporation 520 Arizona Ave Santa Monica CA 90401-1408 Ph: (310) 451-8880 |
| NPI Number | 1518189968 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518189968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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