Michelle Yvette Wildy in Los Angeles - Clinical
Michelle Yvette Wildy - NPI 1760587422
Michelle Yvette Wildy is a Clinical in Los Angeles, California. Michelle Yvette Wildy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Yvette Wildy is 1760587422. The last update date is 2007-07-08.
Michelle Yvette Wildy's current location address is 11301 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3104783711 and fax number 3102684050. The mailing address for Michelle Yvette Wildy is 11301 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Yvette Wildy |
|---|---|
| Address | 11301 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3104783711 |
| Fax Number | 3102684050 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1760587422 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11301 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90073 |
| Phone Number | 3104783711 |
| Fax Number | 3102684050 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10501 |
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What is the unique 10-digit identification code issued to Michelle Yvette Wildy by the Centers for Medicare & Medicaid Services?
The Michelle Yvette Wildy has been assigned the NPI (National Provider Identifier) 1760587422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Michelle Yvette Wildy?
The Michelle Yvette Wildy is situated at 11301 Wilshire Blvd, in the city of Los Angeles, state of CA, with the zip code 90073.
What is Michelle Yvette Wildy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michelle Yvette Wildy is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Michelle Yvette Wildy receive its 1760587422?
The Michelle Yvette Wildy was issued its 1760587422 on 2006-09-14, which is the date when the organization was assigned this unique identifier.
When was the Michelle Yvette Wildy's information last updated?
The Michelle Yvette Wildy's information was last updated on 2007-07-08.