# MICHAEL DECKER DO, INC.

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

## Provider details

- **NPI number:** 1932555125
- **Authorized official:** MICHAEL DECKER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (816) 896-1355

## Contact information

- **Practice address:** 2725 E BROADWAY, \#1352, LONG BEACH, CA 90803-5431
- **Practice address phone:** (562) 434-4494
- **Mailing address:** 565 PIER AVE, \#1352, HERMOSA BEACH, CA 90254-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2016
- **Last updated:** 06/13/2016