| W. David Mello, M.d., Inc.,a Professional Corporation | |
|
1818 Verdugo Blvd Ste 107 Glendale CA 91208-1400 | |
| (818) 790-0122 | |
| (818) 790-4623 |
| Full Name | W. David Mello, M.d., Inc.,a Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1818 Verdugo Blvd Ste 107, Glendale, California |
| Authorized Official Name and Position | Barbara Susan Mello (OFFICE MANAGER/CFO) |
| Authorized Official Contact | 8187900122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W. David Mello, M.d., Inc.,a Professional Corporation 1818 Verdugo Blvd Ste 107 Glendale CA 91208-1400 Ph: (818) 790-0122 | W. David Mello, M.d., Inc.,a Professional Corporation 1818 Verdugo Blvd Ste 107 Glendale CA 91208-1400 Ph: (818) 790-0122 |
| NPI Number | 1073214060 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 05/01/2023 |
| Medicare PECOS PAC ID | 9931565686 |
|---|---|
| Medicare Enrollment ID | O20230523000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073214060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | W. David Mello |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376549733 PECOS PAC ID: 3274620299 Enrollment ID: I20101123000057 |
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