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NPI Code Detail

MEDICARE: JOHN PAUL MICHA M.D.

MEDICARE: JOHN PAUL MICHA 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
1207VX0201XGynecologic Oncology PhysicianG47274CA

General Provider Information

NPI Number : 1538115324
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PAUL MICHA M.D.
Provider Business Mailing Address
First Line : 361 HOSPITAL RD STE 422
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3525
Country : US
Telephone Number : 949-418-5566
Fax Number : 949-418-5460
Provider Business Practice Location Address
First Line : 361 HOSPITAL RD STE 422
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3525
Country : US
Telephone Number : 949-418-5566
Fax Number : 949-418-5460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 01/20/2020

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