Individual
STEPHEN ANDREW MIKULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SAN MIGUEL DR, SUITE 701, NEWPORT BEACH, CA 92660-7853
(949) 759-3600
(949) 759-0282
Mailing address
360 SAN MIGUEL DR, SUITE 701, NEWPORT BEACH, CA 92660-7853
(949) 759-3600
(949) 759-0282
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G80813
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G80813
CA
207XX0801X
Orthopaedic Trauma Physician
G80813
CA
Other
Enumeration date
06/28/2006
Last updated
09/11/2025
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