Individual
DR. MICHAEL IAN ORESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE 550, LOS ANGELES, CA 90095-0001
(310) 206-6688
Mailing address
5767 W CENTURY BLVD, SUITE, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101247050
VA
207Y00000X
Otolaryngology Physician
Primary
A125604
CA
Other
Enumeration date
06/23/2008
Last updated
08/16/2013
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