# DN MICHELSON MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cosmetic, Aesthetic and Anti-Aging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578924015
- **Authorized official:** DR. DAVID MICHELSON MD (CEO)
- **Authorized official phone:** (805) 485-3888

## Contact information

- **Practice address:** 1889 N RICE AVE, SUITE 201, OXNARD, CA 93030-7270
- **Practice address phone:** (805) 485-3888
- **Practice address fax:** (805) 485-5810
- **Mailing address:** 1889 N RICE AVE, SUITE 201, OXNARD, CA 93030-7270
- **Mailing address phone:** (805) 485-3888
- **Mailing address fax:** (805) 485-5810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G31906 | CA | Yes |

## Other

- **Enumeration date:** 03/11/2016
- **Last updated:** 03/11/2016
