MEDICARE: MICHELLE EHRLICH MD

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
1	207N00000X	Dermatology Physician	A85530	CA
2	207ND0101X	MOHS-Micrographic Surgery Physician	A85530	CA

General Provider Information

NPI Number	:	1134244635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE EHRLICH MD

Provider Business Mailing Address
First Line	:	1200 ROSECRANS AVE STE 105
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-2470
Country	:	US
Telephone Number	:	310-546-7546
Fax Number	:	310-546-6777

Provider Business Practice Location Address
First Line	:	1200 ROSECRANS AVE STE 105
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-2470
Country	:	US
Telephone Number	:	310-546-7546
Fax Number	:	310-546-6777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	03/04/2026

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Directions to “ MICHELLE EHRLICH MD” Practice Location

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