Individual
KATRINA ELIZABETH MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 WALNUT ST, BERKELEY, CA 94709-1606
(510) 848-2566
Mailing address
30 VALLEY VIEW DR, ORINDA, CA 94563-3937
(925) 818-6988
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A117715
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2010
Last updated
10/02/2014
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