Organization
MICHELE CARPENTER, M.D., INC
Active
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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