Individual
DR. MICHAEL S MAEHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 CLARK AVE, LONG BEACH, CA 90815-2521
(562) 597-4181
(562) 597-7083
Mailing address
75 REMITTANCE DR DEPT 6008, CHICAGO, IL 60675-6008
(562) 282-1419
(562) 920-4642
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
39815
CA
207RR0500X
Rheumatology Physician
A39815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A398150
—
CA
Enumeration date
07/24/2006
Last updated
07/15/2016
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