Individual
MELISSA LOUISE DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-5350
Mailing address
500 SUPERIOR AVE STE 100, NEWPORT BEACH, CA 92663-3660
(949) 764-5350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C202170
CA
208600000X
Surgery Physician
MD205727
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037912
—
WA
05
—
500672653
—
OR
Enumeration date
03/31/2014
Last updated
12/16/2025
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