Individual
DR. JAMES W. MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-6158
(858) 784-5933
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
(858) 784-5767
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A65691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A656910
—
CA
Enumeration date
03/31/2006
Last updated
07/09/2007
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