Pietzak, Michelle Maria

Pietzak, Michelle Maria is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Pietzak, Michelle Maria can be contacted via phone (323) 361-2181.

Contact Information

Primary practice address
4650 W Sunset Blvd Los Angeles CA 90027-6062
Fax: (323) 664-0718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X G78750 California

Profile Details

NPI number 1457445348
LBN Legal business name Pietzak, Michelle Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 21st, 2022 - about 3 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 1457445348 NPPES
California MEDICAID 005787500

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