Michel, Lidia

Michel, Lidia is an sole proprietor health care provider with primary practice located at 1304 15Th St Ste 102 , Santa Monica CA 90404-1810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Michel, Lidia can be contacted via phone (310) 319-4080.

Contact Information

Primary practice address
1304 15Th St Ste 102 Santa Monica CA 90404-1810
Phone: (310) 319-4080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 21678 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP 21678 California

Profile Details

NPI number 1134479322
LBN Legal business name Michel, Lidia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2012
Last updated Dec 30th, 2019 - about 6 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 1134479322 NPPES
California MEDICAID RN628435

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