Organization
ANDREW J. MIKAELIAN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J. MIKAELIAN M.D. (CEO)
(805) 494-9993
Entity
Organization
Contact information
Practice address
1240 WESTLAKE BLVD., SUITE 135, WESTLAKE VILLAGE, CA 91361-1987
(805) 494-9993
Mailing address
1240 WESTLAKE BLVD., SUITE 135, WESTLAKE VILLAGE, CA 91361-1987
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
09/18/2007
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