Provider Demographics
NPI:1083009831
Name:MELVIN H NUTIG, MD., INC
Entity Type:Organization
Organization Name:MELVIN H NUTIG, MD., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:NUTIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-659-2910
Mailing Address - Street 1:150 N ROBERTSON BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2145
Mailing Address - Country:US
Mailing Address - Phone:310-659-2910
Mailing Address - Fax:
Practice Address - Street 1:150 N ROBERTSON BLVD STE 360
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2173
Practice Address - Country:US
Practice Address - Phone:310-659-2910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29399207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty