MEDICARE: DR. MICHAEL STONE 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
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	A31297	CA

General Provider Information

NPI Number	:	1730221698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STONE M D

Provider Business Mailing Address
First Line	:	501 PECAN AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-4622
Country	:	US
Telephone Number	:	714-309-7935
Fax Number	:	714-465-9124

Provider Business Practice Location Address
First Line	:	1950 E 17TH ST STE 150
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-6852
Country	:	US
Telephone Number	:	714-547-4300
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/15/2020

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

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