MEDICARE: DR. MIGUEL ANGEL UNZUETA M.D.

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	207W00000X	Ophthalmology Physician	240221	NY
2	207W00000X	Ophthalmology Physician	A87565	CA

General Provider Information

NPI Number	:	1023040714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIGUEL ANGEL UNZUETA M.D.

Provider Business Mailing Address
First Line	:	1700 E CESAR E CHAVEZ AVE
Second Line	:	#3400
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-2424
Country	:	US
Telephone Number	:	323-526-7273
Fax Number	:	323-526-7235

Provider Business Practice Location Address
First Line	:	1700 E CESAR E CHAVEZ AVE
Second Line	:	#3400
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-2424
Country	:	US
Telephone Number	:	323-526-7273
Fax Number	:	323-526-7235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/01/2012

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Directions to “ DR. MIGUEL ANGEL UNZUETA M.D.” Practice Location

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