Individual
MICHAEL E VAN NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33608 ORTEGA HWY, SAN JUAN CAPISTRANO, CA 92675-2042
(949) 728-4579
Mailing address
33608 ORTEGA HWY, SAN JUAN CAPISTRANO, CA 92675-2042
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
A120590
CA
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
A120590
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A120590
CA
Other
Enumeration date
06/28/2010
Last updated
03/08/2019
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