Individual
DR. MICHAEL BERTNICE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3637 MARTIN LUTHER KING JR BLVD, SUITE B, LYNWOOD, CA 90262-3511
(310) 537-9230
(310) 537-9022
Mailing address
3637 MARTIN LUTHER KING JR BLVD, SUITE B, LYNWOOD, CA 90262-3511
(310) 537-9230
(310) 537-9022
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
G22694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G226940
—
CA
Enumeration date
10/09/2006
Last updated
03/11/2010
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