MEDICARE: DR. MICHAEL VINCENT URSICH O.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
1	152W00000X	Optometrist	7595T	CA

General Provider Information

NPI Number	:	1619034790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL VINCENT URSICH O.D.

Provider Business Mailing Address
First Line	:	28633 S WESTERN AVE
Second Line	:	SUITE 200
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-0827
Country	:	US
Telephone Number	:	310-548-6363
Fax Number	:

Provider Business Practice Location Address
First Line	:	28633 S WESTERN AVE
Second Line	:	SUITE 200
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-0827
Country	:	US
Telephone Number	:	310-548-6363
Fax Number	:

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1437318532 — DR. CHIA-CHEN YEH D.D.S, M.S.D.
Practice Location Address:

28633 S. WESTERN AVE , SUITE #205
RANCHO PALOS VERDES, CA
90275-0827

Practice Phone: 310-831-9394
Practice Fax: 310-515-2838

1609922038 — TIM G. URSICH CHIROPRATIC, INC.
Practice Location Address:

28633 S WESTERN AVE , SUITE 200
RANCHO PALOS VERDES, CA
90275-0827

Practice Phone: 310-832-2622
Practice Fax: 310-832-2621

1316162167 — STAYSEA SUMNER L.AC. PHD
Practice Location Address:

28633 S WESTERN AVE , #202
RANCHO PALOS VERDES, CA
90275-0827

Practice Phone: 310-241-0947
Practice Fax:

1902350135 — ABC ACUPUNCTURE
Practice Location Address:

28633 S WESTERN AVE , SUITE 202
RANCHO PALOS VERDES, CA
90275-0827

Practice Phone: 310-241-0947
Practice Fax: 310-241-0932

1477416964 — ADAB HEALTH & WELLNESS LLC
Practice Location Address:

28647 GUNTER RD
RANCHO PALOS VERDES, CA
90275

Practice Phone: 310-500-8204
Practice Fax:

1821095654 — DR. WESLEY G. BRADFORD MD
Practice Location Address:

5122 OCONTO AVE
RANCHO PALOS VERDES, CA
90275-3733

Practice Phone: 310-541-6686
Practice Fax:

Directions to “ DR. MICHAEL VINCENT URSICH O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.