Organization
WEST COAST PEDIATRIC NEUROSURGICAL
Active
Other names
Michael G Muhonen MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G MUHONEN MD (PRESIDENT)
(714) 835-2741
Entity
Organization
Contact information
Practice address
1010 WEST LA VETA AVE, SUITE 710, ORANGE, CA 92868
(714) 835-2724
(714) 835-2751
Mailing address
1010 WEST LA VETA AVE, SUITE 710, ORANGE, CA 92868
(714) 835-2724
(714) 835-2751
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090060
—
CA
Enumeration date
08/17/2006
Last updated
03/23/2010
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