Individual
DR. W. DAVID MELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 VERDUGO BLVD, STE 107, GLENDALE, CA 91208-1400
(818) 790-0122
(818) 790-4623
Mailing address
1818 VERDUGO BLVD, STE 107, GLENDALE, CA 91208-1400
(818) 790-0122
(818) 790-4623
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G040719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G407190
—
CA
Enumeration date
06/21/2005
Last updated
05/01/2023
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