Individual
DR. MICHELLE M. ALGARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23961 MAGDALENA, #520, LAGUNA HILLS, CA 92653
(949) 855-3376
(949) 609-1971
Mailing address
23961 MAGDALENA, #520, LAGUNA HILLS, CA 92653
(949) 855-3376
(949) 609-1971
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G85189
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G85189
CA
207ND0900X
Dermatopathology Physician
G85189
CA
207NS0135X
Procedural Dermatology Physician
G85189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010715071
TAX IDENTIFICATION NUMBER
CA
01
—
G85189
STATE LICENSE NUMBER
CA
01
—
P00092882
RAILROAD MEDICARE PROVIDER #
CA
01
—
WG85189I
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
06/21/2005
Last updated
03/07/2023
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