De Santo, Michelle Dominique

De Santo, Michelle Dominique is an individual health care provider with primary practice located at 1001 S Garfield Ave , Alhambra CA 91801-4772. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. De Santo, Michelle Dominique can be contacted via phone (818) 788-4513.

Contact Information

Primary practice address
1001 S Garfield Ave Alhambra CA 91801-4772
Phone: (818) 788-4513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20A12005 California

Profile Details

NPI number 1104194299
LBN Legal business name De Santo, Michelle Dominique
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2011
Last updated Dec 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104194299 NPPES
California Other 20A12005 OSTEOPATHIC MEDICAL BOARD OF CALIFORNIA

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