Gertz, Michael Allen

Gertz, Michael Allen is an individual health care provider with primary practice located at 757 Westwood Plz Rm 14 19, Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Gertz, Michael Allen can be contacted via phone (310) 825-2111.

Contact Information

Primary practice address
757 Westwood Plz Rm 14 19 Los Angeles CA 90095-3075
Phone: (310) 825-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A67874 California

Profile Details

NPI number 1720021173
LBN Legal business name Gertz, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 23rd, 2010 - about 14 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 1720021173 NPPES
California MEDICAID 00A678740

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