Dodge, Michael

Dodge, Michael is an individual health care provider with primary practice located at 14445 Olive View Dr , Sylmar CA 91342-1437. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dodge, Michael can be contacted via phone (951) 870-6298.

Contact Information

Primary practice address
14445 Olive View Dr Sylmar CA 91342-1437
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PTL6422 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A180895 California

Profile Details

NPI number 1205415262
LBN Legal business name Dodge, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2021
Last updated Apr 24th, 2024 - about last year

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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