# W. MICHAEL CARRAGHER III, DO INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003025800
- **Authorized official:** DR. W. MICHAEL CARRAGHER III D.O. (PRESIDENT)
- **Authorized official phone:** (323) 874-9355

## Contact information

- **Practice address:** 7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
- **Practice address phone:** (805) 823-8204
- **Mailing address:** 7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
- **Mailing address phone:** (805) 823-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 20A7692 | CA | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 12/10/2009