Individual
DR. MICHAEL AVESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, MS #3, LOS ANGELES, CA 90027-6062
(323) 361-5591
(323) 361-1001
Mailing address
4650 W SUNSET BLVD, MS #3, LOS ANGELES, CA 90027-6062
(323) 361-5591
(323) 361-1001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60368375
WA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A141521
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2013
Last updated
05/24/2016
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