Individual
MICHAEL CHARLES OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RN, CPNP
Contact information
Practice address
251 LANDIS AVE, CHULA VISTA, CA 91910-2628
(619) 515-2500
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 906-4623
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95001492
CA
Other
Enumeration date
07/26/2012
Last updated
03/17/2018
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