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General NPI Number Information
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NPI Number | 1760619993
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Entity Type | Individual
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Provider Name | NONGLIN MEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 16121 JAMAICA AVE STE 7
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City | JAMAICA
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State | NY
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Zip | 11432-6113
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Country | US
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Telephone | 929-421-4630
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Fax | 347-532-2328
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax | 323-467-7119
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 332221
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 83530
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License Number State | GA
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