Individual
MICHAEL J. METICHECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 GRAND CYPRESS AVE STE 304, PALMDALE, CA 93551-3646
(661) 723-3700
(661) 723-3799
Mailing address
360 GRAND CYPRESS AVE STE 304, PALMDALE, CA 93551-3646
(661) 723-3700
(661) 723-3799
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C46460
CA
224P00000X
Prosthetist
Primary
C46460
CA
332B00000X
Durable Medical Equipment & Medical Supplies
C46460
CA
Other
Enumeration date
08/12/2009
Last updated
10/28/2025
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