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Organization
MICHAELS MEDICAL GROUP
Active
Organization
MICHAELS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULI MARKHAM (MANAGER)
(951) 694-1307
Entity
Organization
Contact information
Practice address
15090 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 943-8444
Mailing address
15090 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 943-8444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
04/15/2008
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