Individual
DR. MICHELLE D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 742-5716
(213) 742-5731
Mailing address
21021 TOMLEE AVE, TORRANCE, CA 90503-4064
(310) 818-1989
(213) 742-5731
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G74047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G740470
—
CA
Enumeration date
12/01/2006
Last updated
01/12/2024
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