Individual
MR. JOHN C MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1887 BAJA VISTA WAY, CAMARILLO, CA 93010-9274
(805) 340-0563
(805) 389-3190
Mailing address
1887 BAJA VISTA WAY, CAMARILLO, CA 93010-9274
(805) 340-0563
(805) 389-3190
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16603
CA
363AS0400X
Surgical Physician Assistant
PA16603
CA
Other
Enumeration date
05/08/2006
Last updated
09/25/2024
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