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Individual

DR. MICHAEL J DORSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MOODY CT STE 200, THOUSAND OAKS, CA 91360-6082
(310) 319-3475
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A116011
CA
207T00000X
Neurological Surgery Physician
P19058
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FB434Z
CA
Enumeration date
01/24/2007
Last updated
09/24/2020
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