Individual
DR. ELMO MICHAEL AGATEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19582 BEACH BLVD STE 219, HUNTINGTON BEACH, CA 92648-5923
(714) 477-8190
(714) 477-8191
Mailing address
19582 BEACH BLVD STE 219, HUNTINGTON BEACH, CA 92648-5923
(714) 477-8190
(714) 477-8191
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A85575
CA
Other
Enumeration date
08/04/2006
Last updated
11/12/2025
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