Individual
DR. SPIROS H. MIKELATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4864 SANTA MONICA BLVD, LOS ANGELES, CA 90029
(323) 664-9000
(323) 664-9400
Mailing address
COPA PACIFIC 23930 OCEAN AVENUE, 211, TORRANCE, CA 90505
(310) 663-5432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A21331
CA
208D00000X
General Practice Physician
Primary
A21331
CA
Other
Enumeration date
10/13/2006
Last updated
11/26/2021
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