Individual
DR. MICHAEL BOUVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 53726, LOS ANGELES, CA 90074-0001
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G69035
CA
2086X0206X
Surgical Oncology Physician
Primary
G69035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G690350
—
CA
Enumeration date
05/02/2006
Last updated
11/17/2025
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