Individual
MICHAEL DYLAN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 N PRAIRIE AVE, STE 334, INGLEWOOD, CA 90301-4505
(310) 674-8600
(310) 671-9883
Mailing address
323 N PRAIRIE AVE, STE 334, INGLEWOOD, CA 90301-4505
(310) 674-8600
(310) 671-9883
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G27842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G278420
—
CA
Enumeration date
05/23/2005
Last updated
05/10/2016
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