# MICHAEL DECKER, DO, INC

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

## Provider details

- **NPI number:** 1033561725
- **Authorized official:** DR. MICHAEL DECKER DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (714) 506-2450

## Contact information

- **Practice address:** 565 PIER AVE, 1352, HERMOSA BEACH, CA 90254-8200
- **Practice address phone:** (816) 896-1355
- **Mailing address:** 565 PIER AVE, 1352, HERMOSA BEACH, CA 90254-8200
- **Mailing address phone:** (816) 896-1355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 20A13087 | CA | Yes |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 07/06/2016