Individual
MICHAEL J. SKYHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.S.
Contact information
Practice address
332 SANTA FE DR, SUITE 110, ENCINITAS, CA 92024-5143
(760) 943-6700
(760) 632-4292
Mailing address
332 SANTA FE DR, SUITE 110, ENCINITAS, CA 92024-5143
(760) 943-6700
(760) 632-4292
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G49600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-0431018
TRICARE
CA
05
—
GR0093170
—
CA
01
—
ZZZ04918Z
BLUE SHIELD
CA
Enumeration date
09/29/2006
Last updated
01/21/2013
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