Mellos, Nick C.

Mellos, Nick C. is an individual health care provider with primary practice located at Va San Diego Healthcare System 3350 La Jolla Village Dr, San Diego CA 92161-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mellos, Nick C. can be contacted via phone (858) 642-1535.

Contact Information

Primary practice address
Va San Diego Healthcare System 3350 La Jolla Village Dr San Diego CA 92161-0001
Phone: (858) 642-1535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 041608C Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C129192 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 041608 Connecticut
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X C129192 California

Profile Details

NPI number 1255362893
LBN Legal business name Mellos, Nick C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 25th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255362893 NPPES
Connecticut MEDICAID 004039244

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