Michelle A Marine in Thousand Oaks - Specialist

Michelle A Marine - NPI 1114976149

Michelle A Marine is a Specialist in Thousand Oaks, California. Michelle A Marine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michelle A Marine is 1114976149. The last update date is 2023-11-03.

Michelle A Marine's current location address is 77 Rolling Oaks Dr, Thousand Oaks, California. You can contact this provider via phone number 8053718775 and fax number 8053793711. The mailing address for Michelle A Marine is 77 Rolling Oaks Dr, Thousand Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle A Marine
Address 77 Rolling Oaks Dr, Thousand Oaks, California
Phone Number 8053718775
Fax Number 8053793711
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1114976149
Provider Enumeration Date 2006-05-08
Last Updated Date 2023-11-03

Provider Mailing Address Detail

Address 77 Rolling Oaks Dr
City Thousand Oaks
State California (CA)
Post Code 913611011
Phone Number 8053718775
Fax Number 8053793711

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G69257
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Michelle A Marine

What is the unique 10-digit identification code issued to Michelle A Marine by the Centers for Medicare & Medicaid Services?

The Michelle A Marine has been assigned the NPI (National Provider Identifier) 1114976149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Michelle A Marine is geographically located?

The Michelle A Marine is physically situated at the following location: 77 Rolling Oaks Dr, Thousand Oaks, CA, 913611011.

What is Michelle A Marine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michelle A Marine is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Michelle A Marine receive its 1114976149 assignment from the Centers for Medicare & Medicaid Services?

The Michelle A Marine was assigned its 1114976149 by the Centers for Medicare & Medicaid Services on 2006-05-08.

When was the Michelle A Marine's information last updated?

The Michelle A Marine's information was last updated on 2023-11-03.

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