Individual
DR. RICHARD MICHAEL MICHELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE STE 1400, LOS ANGELES, CA 90033-2467
(323) 307-8913
Mailing address
920 CENTRAL AVE UNIT 108, RIVERSIDE, CA 92507-0239
(702) 373-2962
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
20A16711
CA
207Y00000X
Otolaryngology Physician
Primary
20A16711
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2017
Last updated
04/06/2023
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