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Individual

DR. MICHELE MARIE VAN HIRTUM-DAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8723 ALDEN DR STE 240, LOS ANGELES, CA 90048-3692
(310) 423-7779
(310) 423-8269
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
A73193
CA
2084N0400X
Neurology Physician
Primary
A73193
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770748261
TYPE II NPI
CA
Enumeration date
09/02/2006
Last updated
08/09/2024
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