| Organization Name: | H MILANO MELLON MD INC |
| NPI Number: | 1003008103 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | H MILANO MELLON (OWNER) |
| Mailing Address: | 915 Myrtle Ave Inglewood |
| State: | CA US |
| Postal Code: | 903014007 |
| Phone Number: | 3106733133 |
| Fax Number: | 3106734277 |
| NPI Enumeration Date: | 08/13/2007 |
| NPI Last Update Date: | 03/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A30748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |