MEDICARE: DR. BERNARD ARON MICHLIN 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	207R00000X	Internal Medicine Physician	G43755	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1861492738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD ARON MICHLIN M.D.

Provider Business Mailing Address
First Line	:	6367 ALVARADO CT
Second Line	:	SUITE 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-4904
Country	:	US
Telephone Number	:	619-583-1954
Fax Number	:	619-583-2875

Provider Business Practice Location Address
First Line	:	6367 ALVARADO CT
Second Line	:	SUITE 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-4904
Country	:	US
Telephone Number	:	619-583-1954
Fax Number	:	619-583-2875

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	05/25/2021

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