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Individual

MICHAEL J. PATZAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST, #2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
(323) 442-6990
Mailing address
1520 SAN PABLO ST, #2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
(323) 442-6990

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C26268
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C262680
BLUE SHIELD
CA
05
00C262680
CA
Enumeration date
08/13/2006
Last updated
07/08/2007
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