Provider Demographics
NPI:1245598481
Name:VAN NOORD, MICHELLE UBELS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:UBELS
Last Name:VAN NOORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:JANICE
Other - Last Name:UBELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10666 N TORREY PINES RD # MS -313
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1027
Mailing Address - Country:US
Mailing Address - Phone:858-554-9924
Mailing Address - Fax:858-554-4555
Practice Address - Street 1:10666 N TORREY PINES RD # MS -313
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-9924
Practice Address - Fax:858-554-4555
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1280852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology