MEDICARE: MICHAEL A ERLICH MD INC

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	2084N0400X	Neurology Physician	G24428	CA
2	2084N0400X	Neurology Physician	G23888	CA

General Provider Information

NPI Number	:	1902014376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A ERLICH MD INC

Provider Business Mailing Address
First Line	:	3650 E SOUTH STREET
Second Line	:	SUITE 108
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-1533
Country	:	US
Telephone Number	:	562-633-1007
Fax Number	:	562-633-6427

Provider Business Practice Location Address
First Line	:	3650 E SOUTH STREET
Second Line	:	SUITE 108
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-1533
Country	:	US
Telephone Number	:	562-633-1007
Fax Number	:	562-633-6427

Authorized Official
Title or Position	:	PRESIDENT MICHAEL A ERLICH MD INC
Name	:	DR. DAVID DREW NEER
Credential	:	MD
Telephone Number	:	562-633-1007

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	08/22/2020

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