Individual
MR. MICHAEL C JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23928 LYONS AVE, SUITE 206, NEWHALL, CA 91321-2409
(661) 799-0615
(661) 254-3185
Mailing address
25775 MCBEAN PKWY, SUITE 214, VALENCIA, CA 91355-3708
(661) 255-2420
(661) 259-0552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C52532
CA
207RG0100X
Gastroenterology Physician
Primary
C52532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813114
—
AZ
Enumeration date
05/22/2006
Last updated
11/29/2021
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