Organization
MICHAEL DECKER, DO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DECKER DO (PHYSICIAN/OWNER)
(714) 506-2450
Entity
Organization
Contact information
Practice address
565 PIER AVE, 1352, HERMOSA BEACH, CA 90254-8200
(816) 896-1355
Mailing address
565 PIER AVE, 1352, HERMOSA BEACH, CA 90254-8200
(816) 896-1355
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20A13087
CA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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