Individual
MELISSA MATILDE DEBAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # MS 81, LOS ANGELES, CA 90027-6062
(323) 361-5079
Mailing address
4650 SUNSET BLVD., MS #81, CHILDREN'S HOSPITAL LOS ANGELES, LOS ANGELES, CA 90027
(323) 361-5079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A124596
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2008
Last updated
06/06/2014
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