Individual
DAVID SCOTT MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9834 GENESEE AVE, SUITE 200, LA JOLLA, CA 92037-1223
(858) 457-3050
(858) 457-0851
Mailing address
9834 GENESEE AVE, SUITE 200, LA JOLLA, CA 92037-1223
(858) 457-3050
(858) 457-0851
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A065692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A065692
STATE LICENSE NUMBER
CA
Enumeration date
01/26/2007
Last updated
07/08/2007
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