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NPI Code Detail

MEDICARE: DR. MICHAEL G. ESSEX M.D.

MEDICARE:  DR. MICHAEL G. ESSEX  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
12084P0800XPsychiatry PhysicianG85675CA

General Provider Information

NPI Number : 1952335820
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL G. ESSEX M.D.
Provider Business Mailing Address
First Line : 1816 PERIQUITO CT
Second Line :
City : VISTA
State : CA
Zip : 92081-7016
Country : US
Telephone Number : 760-521-6107
Fax Number : 560-454-2676
Provider Business Practice Location Address
First Line : 1600 E BELLE TER
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-3871
Country : US
Telephone Number : 661-635-2950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 05/04/2021

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