Individual
MICHAEL DAVID ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMPSS
Contact information
Practice address
1750 5TH AVE, SAN DIEGO, CA 92101-2754
(619) 255-7243
Mailing address
1750 5TH AVE, SAN DIEGO, CA 92101-2754
(619) 255-7243
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KJSIPN
CA
Other
Enumeration date
11/07/2025
Last updated
11/18/2025
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