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NPI Code Detail

MEDICARE: DR. MELISSA EVANS VALLAS M.D.

MEDICARE: DR. MELISSA EVANS VALLAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA96788CA

General Provider Information

NPI Number : 1356403596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA EVANS VALLAS M.D.
Provider Business Mailing Address
First Line : 27772 REEL LN
Second Line :
City : VALENCIA
State : CA
Zip : 91381-2108
Country : US
Telephone Number : 650-796-7385
Fax Number :
Provider Business Practice Location Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 12/15/2025

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