Active NPI
Michelle Putnam MD, Inc
- Otolaryngology Physician
- Culver City, CA
National Provider Identifier
1013225531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MICHELLE PUTNAM MD, INC
- Practice address
- 3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751 - Phone
- (310) 204-4111
- Fax
- (310) 204-4474
- NPI assigned
- Sep 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Ann Putnam, M.D.
- Title
- President
- Phone
- (310) 204-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751
Mailing address
3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751
Phone (310) 204-4111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284681600000",
"number": "1013225531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE",
"address_2": "SUITE 504",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322751",
"telephone_number": "310-204-4111",
"fax_number": "310-204-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE",
"address_2": "SUITE 504",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322751",
"telephone_number": "310-204-4111",
"fax_number": "310-204-4474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE PUTNAM MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A",
"authorized_official_last_name": "PUTNAM",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-204-4111",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.