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Organization
MICHAELS AND VU OP APC
Active
Organization
MICHAELS AND VU OP APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAELS OD (OWNER)
(949) 454-1064
Entity
Organization
Contact information
Practice address
23002 LAKE CENTER DR, LAKE FOREST, CA 92630-6801
(949) 454-1064
(949) 454-4111
Mailing address
23002 LAKE CENTER DR, LAKE FOREST, CA 92630-6801
(949) 454-1064
(949) 454-4111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12615T
CA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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