Individual
ANNA MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 DEEP VALLEY DR STE 314, ROLLING HILLS ESTATES, CA 90274-3745
(310) 645-1024
(213) 618-3367
Mailing address
PO BOX 66657, SEATTLE, WA 98166-0657
(310) 645-1024
(213) 618-3367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G75407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G75400
BLUE SHIELD
CA
Enumeration date
05/12/2006
Last updated
03/22/2021
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