Melissa Matilde Debayle, M.D.
Radiology, Diagnostic Radiology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1679747232
StatusActive
Last updated in NPPESJun 6, 2014
Details
- NPI
- 1679747232
- Entity type
- Individual (NPI-1)
- Name
- Melissa Matilde Debayle
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2008
- Last updated
- Jun 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | A124596 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4650 W Sunset Blvd # Ms 81Los Angeles, CA 90027-6062
Phone 323-361-5079
Mailing address
4650 Sunset Blvd., Ms #81Children'S Hospital Los Angeles
Los Angeles, CA 90027
Phone 323-361-5079
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