Mello, W. David
Mello, W. David is an individual health care provider with primary practice located at 1818 Verdugo Blvd Ste 107, Glendale CA 91208-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mello, W. David can be contacted via phone (818) 790-0122.Contact Information
Primary practice address
1818 Verdugo Blvd Ste 107
Glendale CA 91208-1400
Phone: (818) 790-0122
Fax: (818) 790-4623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G040719 | California |
Profile Details
| NPI number | 1376549733 |
|---|---|
| LBN Legal business name | Mello, W. David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | May 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376549733 | NPPES |
| California | MEDICAID | 00G407190 |
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