Organization
MICHELE CARPENTER, M.D., INC
Active
Other names
Orange County Breast Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M. CARPENTER MD (PRESIDENT)
(714) 565-0166
Entity
Organization
Contact information
Practice address
1010 W LA VETA AVE, SUITE 475, ORANGE, CA 92868-4300
(714) 565-0166
(714) 937-0166
Mailing address
1010 W LA VETA AVE, SUITE 475, ORANGE, CA 92868-4300
(714) 565-0166
(714) 937-0166
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
G58755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G587550
—
CA
01
—
W21272
MEDICARE GROUP PIN
CA
Enumeration date
09/11/2007
Last updated
03/10/2016
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