Organization
MICHAEL J. WATANABE, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JUN WATANABE M.D. (PRESIDENT)
(949) 859-8551
Entity
Organization
Contact information
Practice address
24401 CALLE DE LA LOUISA, SUITE 102, LAGUNA HILLS, CA 92653-3623
(949) 859-8551
(949) 859-3640
Mailing address
24401 CALLE DE LA LOUISA, SUITE 102, LAGUNA HILLS, CA 92653-3623
(949) 859-8551
(949) 859-3640
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A29824
CA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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