Individual
CARTER MICHAEL PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-5127
(310) 794-7788
Mailing address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(424) 467-5487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11507
CA
Other
Enumeration date
03/14/2022
Last updated
12/03/2023
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