Individual
DR. MICHELLE TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-3747
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-3747
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
278279
NY
2084P0015X
Psychosomatic Medicine Physician
Primary
A158718
CA
Other
Enumeration date
06/04/2013
Last updated
04/26/2020
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