Individual
PHILIP F MECHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Mailing address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20683
PA LICENSE
CA
Enumeration date
01/21/2010
Last updated
01/21/2010
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