Individual
MICHAEL ALLEN PULSIPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, MAIL STOP #54, LOS ANGELES, CA 90027-6062
(323) 361-2546
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2546
(323) 361-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
357548-1205
UT
207RH0003X
Hematology & Oncology Physician
357548-1205
UT
208000000X
Pediatrics Physician
357548-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
357548-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003038700
—
ID
05
—
0031620
—
MT
01
—
274044
DMBA #
—
01
—
60365
PEHP #
—
05
—
61589039
—
NM
01
—
904
UNIVERSITY HEALTH PLANS #
—
05
—
MD265UT
—
AK
01
—
QM0000049131
ALTIUS #
—
Enumeration date
05/12/2006
Last updated
01/25/2022
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