Itkonen, Michelle Renee

Itkonen, Michelle Renee is an individual health care provider with primary practice located at 4650 Lincoln Blvd , Marina Del Rey CA 90292-6306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Itkonen, Michelle Renee can be contacted via phone (310) 823-8911.

Contact Information

Primary practice address
4650 Lincoln Blvd Marina Del Rey CA 90292-6306
Phone: (310) 823-8911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A157420 California

Profile Details

NPI number 1194256347
LBN Legal business name Itkonen, Michelle Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Sep 21st, 2022 - about 4 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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