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NPI Code Detail

MEDICARE: DR. MICHAEL DOO M.D.

MEDICARE: DR. MICHAEL DOO 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
1207R00000XInternal Medicine PhysicianA95520CA

General Provider Information

NPI Number : 1528197613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DOO M.D.
Provider Business Mailing Address
First Line : 19 MEADOWOOD
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-1502
Country : US
Telephone Number : 949-916-5873
Fax Number :
Provider Business Practice Location Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 562-826-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL DOO M.D.” Practice Location

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