Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marie Eyssallenne

Individual provider Medical Physician Assistant · NPI 1821281411

Marie Eyssallenne is a Medical Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1640 Marengo St 300
Los Angeles, CA 90033-1036
Phone: (323) 226-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA11819 (CA)

Record details

NPI number1821281411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007

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