Individual
MICHAEL VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(833) 574-2273
Mailing address
12642 STRATHMORE DR, GARDEN GROVE, CA 92840-5505
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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