Individual
MICHAEL ALEXANDER SENIKOWICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-0112
(323) 865-3050
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G36565
CA
2085R0203X
Therapeutic Radiology Physician
Primary
G36565
CA
Other
Enumeration date
10/22/2007
Last updated
05/13/2014
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