Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G-21078 | CA |
NPI | 1518974054 |
---|---|
Provider Name | Dr. David Roy Meldrum |
First Address | Redondo Beach, CA 90277-3028 |
Second Address | Redondo Beach, CA 90277-3028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |