Michel, Mary M
Michel, Mary M is an individual health care provider with primary practice located at 1300 N Vermont Ave #610, Los Angeles CA 90027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Michel, Mary M can be contacted via phone (323) 665-5600.Contact Information
Primary practice address
1300 N Vermont Ave #610
Los Angeles CA 90027
Phone: (323) 665-5600
Fax: (323) 665-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | E31042 | California |
Profile Details
| NPI number | 1649246174 |
|---|---|
| LBN Legal business name | Michel, Mary M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649246174 | NPPES |
| California | MEDICAID | 00A310420 |
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