Individual
DR. SIMONA DE MICHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 FIVEPOINT, IRVINE, CA 92618-2377
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A166968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A166968
MEDICAL LICENSE
CA
Enumeration date
04/13/2017
Last updated
08/27/2025
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