Michael David Planck

NPI 1609053024 - Counselor - 101YM0800X

NPI Details
NPI 1609053024
Gender Male
Enumeration Date 01/28/2008
Last Updated 10/27/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1720 E 120TH ST
AUGUSTUS HAWKINS
LOS ANGELES CA, 90059-3052, US
Phone (310) 668-4873
Fax (310) 668-4498
Business Location
1720 E 120TH ST
AUGUSTUS HAWKINS
LOS ANGELES CA, 90059-3052, US
Phone (310) 668-4873
Fax (310) 668-4498
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number ASW 20763
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According to our database, Mr. Michael David Planck NPI is 1609053024, taxonomy code is 101YM0800X and license number is ASW 20763, license state is located at California. Michael David Planck physically located at 1720 E 120th St, Los Angeles CA, 90059-3052. NPI Number Michael David Planck has the Individual type.

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1609053024 NPI number is provided on an as is basis without warranty of any kind. 1609053024 is maintained by the National Plan & Provider Enumeration System. The contents of Michael David Planck are for informational purposes only.