Organization
MICHAEL E MUSICANT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E MUSICANT MD (MD)
(619) 462-8100
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DRIVE, BUILDING 1 SUITE 221, LA MESA, CA 91942-3022
(619) 462-8100
(619) 462-7933
Mailing address
5565 GROSSMONT CENTER DRIVE, BUILDING 1 SUITE 221, LA MESA, CA 91942-3022
(619) 462-8100
(619) 462-7933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3229
MEDICARE RAILROAD GROUP
CA
05
—
GR0059620
—
CA
Enumeration date
08/14/2006
Last updated
09/11/2025
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