Individual
DR. NICK MELVIN SHILLINGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4650 W SUNSET BLVD, MS # 43, LOS ANGELES, CA 90027
(323) 361-5917
(323) 361-1087
Mailing address
19024 110TH RD, SAINT ALBANS, NY 11412-2002
(646) 719-3703
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
A125802
CA
Other
Enumeration date
07/13/2008
Last updated
07/17/2018
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