Individual
DAVID MICHELIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 DOVER DR, SUITE 7, NEWPORT BEACH, CA 92663-5735
(949) 645-4670
(949) 722-6866
Mailing address
601 DOVER DR, SUITE 7, NEWPORT BEACH, CA 92663-5735
(949) 645-4670
(949) 722-6866
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A68328
CA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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