Individual
DR. HORACE MILANO MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 MYRTLE AVE, INGLEWOOD, CA 90301-4007
(310) 673-3133
(310) 373-4277
Mailing address
915 MYRTLE AVE, INGLEWOOD, CA 90301-4007
(310) 673-3133
(310) 373-4277
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A30748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00307480
—
CA
Enumeration date
09/01/2006
Last updated
09/17/2012
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