MEDICARE: DR. MICHAEL DARREN MARGER MD

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	207X00000X	Orthopaedic Surgery Physician	47437	MN
2	207X00000X	Orthopaedic Surgery Physician	A95445	CA

General Provider Information

NPI Number	:	1487629671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DARREN MARGER MD

Provider Business Mailing Address
First Line	:	16702 VALLEY VIEW AVE
Second Line	:
City	:	LA MIRADA
State	:	CA
Zip	:	90638-5824
Country	:	US
Telephone Number	:	714-367-5360
Fax Number	:	714-635-5458

Provider Business Practice Location Address
First Line	:	6820 LA TIJERA BLVD STE 217
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-1931
Country	:	US
Telephone Number	:	310-218-4300
Fax Number	:	310-218-4310

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	07/03/2017

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