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Organization

WEST COAST PEDIATRIC NEUROSURGICAL

Active
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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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