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
Fax: (323) 665-8502
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1649246174 NPPES
California MEDICAID 00A310420

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