Individual
ANDREW J. MIKAELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 WESTLAKE BLVD., SUITE 135, WESTLAKE VILLAGE, CA 91361-1987
(805) 494-9993
(805) 494-0843
Mailing address
1240 WESTLAKE BLVD., SUITE 135, WESTLAKE VILLAGE, CA 91361-1987
(805) 494-9993
(805) 494-0843
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G65309
CA
Other
Enumeration date
05/24/2006
Last updated
09/18/2007
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