Edison Victor De Mello, MDPHD
Edison Victor De Mello, MDPHD is a Family Medicine Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
520 Arizona AveSanta Monica, CA 90401
Phone: (310) 451-8880
Fax: (310) 451-8803
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence N78519 (CA) |
|---|
Record details
| NPI number | 1053532044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPHD |
| Sole proprietor | No |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
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