Individual
DR. MARCOS JAVIER MICHELOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2822
Mailing address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A107144
CA
Other
Enumeration date
02/08/2008
Last updated
04/03/2018
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