Healthcare Provider Details

I. General information

NPI: 1871238907
Provider Name (Legal Business Name): MICHAEL JOSEPH RAYMOND NAPOLITANO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5743 CORSA AVE STE 120
WESTLAKE VILLAGE CA
91362-4027
US

IV. Provider business mailing address

5743 CORSA AVE STE 120
WESTLAKE VILLAGE CA
91362-4027
US

V. Phone/Fax

Practice location:
  • Phone: 805-244-4988
  • Fax:
Mailing address:
  • Phone: 805-244-4988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number20A22389
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: