Individual
MELINDA AILEEN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14445 OLIVE VIEW DR, DEPT SURGERY OLIVE VIEW- UCLA MEDICAL CTR 6D, SYLMAR, CA 91342
(818) 364-3194
(818) 364-3514
Mailing address
14445 OLIVE VIEW DR, DEPT SURGERY OLIVE VIEW- UCLA MEDICAL CTR 6D, SYLMAR, CA 91342
(818) 364-3194
(818) 364-3514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A060131
CA
208600000X
Surgery Physician
A60131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A601310
—
CA
Enumeration date
07/24/2006
Last updated
10/09/2013
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