Individual
DR. MICHAEL V. ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SAN MIGUEL DR STE 207, NEWPORT BEACH, CA 92660-7820
(949) 721-1113
Mailing address
360 SAN MIGUEL DR STE 207, NEWPORT BEACH, CA 92660-7820
(949) 721-1113
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C38533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C38533
STATE LICENSE
CA
Enumeration date
10/20/2006
Last updated
07/08/2007
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