Van Hirtum-Das, Michele Marie
Van Hirtum-Das, Michele Marie is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Van Hirtum-Das, Michele Marie can be contacted via phone (323) 660-2450.Contact Information
Primary practice address
4650 W Sunset Blvd
Los Angeles CA 90027-6062
Phone: (323) 660-2450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | A73193 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A73193 | California |
Profile Details
| NPI number | 1972605772 |
|---|---|
| LBN Legal business name | Van Hirtum-Das, Michele Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972605772 | NPPES |
| California | Other | 1770748261 | TYPE II NPI |
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