Hermansen, Michael

Hermansen, Michael is an individual health care provider with primary practice located at 3851 Katella Ave Ste 100 , Los Alamitos CA 90720-3385. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hermansen, Michael can be contacted via phone (562) 424-5450.

Contact Information

Primary practice address
3851 Katella Ave Ste 100 Los Alamitos CA 90720-3385
Phone: (562) 424-5450
Fax: (562) 430-8687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X CA53910 California

Profile Details

NPI number 1528518073
LBN Legal business name Hermansen, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2016
Last updated May 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528518073 NPPES
California MEDICAID 1528518073

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