Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A147842 | CA |
Y | 2084N0402X | Child Neurologist | A147842 | CA |
NPI | 1235523473 |
---|---|
Provider Name | Michelle Allen-Sharpley |
First Address | Torrance, CA 90504-5513 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2015 |
Last Update Date | 08/09/2021 |