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NPI Code Detail

MEDICARE: KATRINA ELIZABETH MICHEL M.D.

MEDICARE: KATRINA ELIZABETH MICHEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianA117715CA

General Provider Information

NPI Number : 1013232925
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA ELIZABETH MICHEL M.D.
Provider Business Mailing Address
First Line : 30 VALLEY VIEW DR
Second Line :
City : ORINDA
State : CA
Zip : 94563-3937
Country : US
Telephone Number : 925-818-6988
Fax Number :
Provider Business Practice Location Address
First Line : 1650 WALNUT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1606
Country : US
Telephone Number : 510-848-2566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2010
Last Update Date : 10/02/2014

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