=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134303126
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANZ MICHEL MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/26/2007
-----------------------------------------------------
Last Update Date | 05/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2239 MICHAEL DR
-----------------------------------------------------
City | NEWBURY PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91320-3340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-499-2676
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2239 MICHAEL DR
-----------------------------------------------------
City | NEWBURY PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91320-3340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-499-2676
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FRANZ MICHEL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 805-499-2676
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | A74626
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------