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
Phone: (323) 361-2181
Fax: (323) 664-0718
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1457445348 | NPPES |
| California | MEDICAID | 005787500 |
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