Healy, Michael Dylan

Healy, Michael Dylan is an individual health care provider with primary practice located at 323 N Prairie Ave Ste 334, Inglewood CA 90301-4505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Healy, Michael Dylan can be contacted via phone (310) 674-8600.

Contact Information

Primary practice address
323 N Prairie Ave Ste 334 Inglewood CA 90301-4505
Phone: (310) 674-8600
Fax: (310) 671-9883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G27842 California

Profile Details

NPI number 1861495020
LBN Legal business name Healy, Michael Dylan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 10th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861495020 NPPES
California MEDICAID 00G278420

Popular Providers