Organization
MICHAEL D PHILLIPS, MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D PHILLIPS MD (PRESIDENT)
(310) 701-9497
Entity
Organization
Contact information
Practice address
2560 W OLYMPIC BLVD, SUITE 201, LOS ANGELES, CA 90006-2998
(213) 383-0007
(866) 505-1544
Mailing address
2560 W OLYMPIC BLVD, SUITE 201, LOS ANGELES, CA 90006-2998
(213) 383-0007
(866) 505-1544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C32413
CA
207Q00000X
Family Medicine Physician
C32413
CA
208VP0000X
Pain Medicine Physician
Primary
C32413
CA
Other
Enumeration date
12/18/2012
Last updated
04/05/2013
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