Provider Demographics
NPI:1326149923
Name:GIL Y. MELMED, M.D. A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:GIL Y. MELMED, M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MELMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-652-8031
Mailing Address - Street 1:8635 W 3RD ST
Mailing Address - Street 2:SUITE #960-W
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-6101
Mailing Address - Country:US
Mailing Address - Phone:310-652-8031
Mailing Address - Fax:310-967-0131
Practice Address - Street 1:8635 W 3RD ST
Practice Address - Street 2:SUITE #960-W
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6101
Practice Address - Country:US
Practice Address - Phone:310-652-8031
Practice Address - Fax:310-967-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78742207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty