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General NPI Number Information
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NPI Number | 1457048894
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Entity Type | Organization
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Legal Business Name | MICHAEL GHIAM MD PC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E STE 1700
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City | LOS ANGELES
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State | CA
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Zip | 90067-2020
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Country | US
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Telephone | 818-625-8729
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Fax |
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Provider Business Mailing Address
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Address Line | 23318 PARK COLOMBO
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City | CALABASAS
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State | CA
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Zip | 91302-2810
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Country | US
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Telephone | 818-625-8729
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL GHIAM
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Credential | MD
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Telephone | 818-625-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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