| Mellman Mediccal | |
|
390 Ca-1 #1065 El Segundo CA 90245 | |
| (310) 643-7494 | |
| Not Available |
| Full Name | Mellman Mediccal |
|---|---|
| Speciality | Internal Medicine |
| Location | 390 Ca-1 #1065, El Segundo, California |
| Authorized Official Name and Position | Michael Mellman (OWNERR) |
| Authorized Official Contact | 3106437494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellman Mediccal 390 Ca-1 #1065 El Segundo CA 90245 Ph: (310) 643-7494 | Mellman Mediccal 390 Ca-1 #1065 El Segundo CA 90245 Ph: (310) 643-7494 |
| NPI Number | 1801569504 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801569504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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