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NPI Code Detail

MEDICARE: DR. JAMES ANTHONY MICHAIL M.D.

MEDICARE: DR. JAMES ANTHONY MICHAIL 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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianA142997CA

General Provider Information

NPI Number : 1760879217
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ANTHONY MICHAIL M.D.
Provider Business Mailing Address
First Line : 14860 ROSCOE BLVD STE 201
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-4689
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10515 BALBOA BLVD STE 290
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-6362
Country : US
Telephone Number : 818-831-8999
Fax Number : 818-831-8990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2015
Last Update Date : 06/17/2020

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