Individual
JENNIFER B MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(310) 825-2916
Mailing address
PO BOX 643184, LOS ANGELES, CA 90064-8433
(610) 517-4281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097767
MI
207R00000X
Internal Medicine Physician
43677
AZ
207R00000X
Internal Medicine Physician
A118026
CA
207R00000X
Internal Medicine Physician
MD438673
PA
208M00000X
Hospitalist Physician
43677
AZ
208M00000X
Hospitalist Physician
Primary
A118026
CA
Other
Enumeration date
03/03/2008
Last updated
03/22/2018
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