Individual
MICHAEL JOHN ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MICHAEL ONTIVEROS
Contact information
Practice address
7740 CALLE MEJOR, CARLSBAD, CA 92009-8945
(760) 809-4433
Mailing address
7740 CALLE MEJOR, CARLSBAD, CA 92009
(760) 809-4433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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