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NPI Code Detail

MEDICARE: DR. MICHAEL J DORSI MD

MEDICARE: DR. MICHAEL J DORSI 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
1207T00000XNeurological Surgery PhysicianP19058MD
2207T00000XNeurological Surgery PhysicianA116011CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942355854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J DORSI MD
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 MOODY CT STE 200
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-6082
Country : US
Telephone Number : 310-319-3475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 09/24/2020

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Directions to “ DR. MICHAEL J DORSI MD” Practice Location

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