Provider Demographics
NPI:1477804771
Name:DELAHOUSSAYE-TURNER, MELODY (OD)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:
Last Name:DELAHOUSSAYE-TURNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6765 LANKERSHIM BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1614
Mailing Address - Country:US
Mailing Address - Phone:818-982-0076
Mailing Address - Fax:
Practice Address - Street 1:6765 LANKERSHIM BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1614
Practice Address - Country:US
Practice Address - Phone:818-982-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14521 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist