Healthcare Provider Details

I. General information

NPI: 1144184375
Provider Name (Legal Business Name): MERLO MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 VIBORG RD STE 208
SOLVANG CA
93463-3226
US

IV. Provider business mailing address

2030 VIBORG RD STE 208
SOLVANG CA
93463-3226
US

V. Phone/Fax

Practice location:
  • Phone: 805-688-5488
  • Fax: 805-688-2624
Mailing address:
  • Phone: 805-688-5488
  • Fax: 805-688-2624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAYLI MERLO
Title or Position: PRESIDENT
Credential: MD
Phone: 805-688-5488