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NPI Code Detail

MEDICARE: MR. MICHAEL C JEAN MD

MEDICARE:  MR. MICHAEL C JEAN  MD
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
1207R00000XInternal Medicine PhysicianC52532CA
2207RG0100XGastroenterology PhysicianC52532CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033163985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL C JEAN MD
Provider Business Mailing Address
First Line : 25775 MCBEAN PKWY
Second Line : SUITE 214
City : VALENCIA
State : CA
Zip : 91355-3708
Country : US
Telephone Number : 661-255-2420
Fax Number : 661-259-0552
Provider Business Practice Location Address
First Line : 23928 LYONS AVE
Second Line : SUITE 206
City : NEWHALL
State : CA
Zip : 91321-2409
Country : US
Telephone Number : 661-799-0615
Fax Number : 661-254-3185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 11/29/2021

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Directions to “ MR. MICHAEL C JEAN MD” Practice Location

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