Individual
DR. MICHAEL DAVID MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(562) 921-0341
(562) 404-0266
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5360
(714) 367-5051
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102203398
VA
207X00000X
Orthopaedic Surgery Physician
Primary
20A15837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285811695
SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA
05
—
1285811695
—
VA
01
—
1585811695
VIRGINIA HEALTH NETWORK
VA
01
—
541586601166
TRICARE
VA
Enumeration date
01/28/2008
Last updated
10/25/2017
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