Michael A Mikus in San Diego - Sports Medicine

Michael A Mikus - NPI 1215906847

Michael A Mikus is a Sports Medicine in San Diego, California. Michael A Mikus practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael A Mikus is 1215906847. The last update date is 2021-11-29.

Michael A Mikus's current location address is 4405 Vandever Ave, San Diego, California. You can contact this provider via phone number 8002905000. The mailing address for Michael A Mikus is 4405 Vandever Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael A Mikus
Address 4405 Vandever Ave, San Diego, California
Phone Number 8002905000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215906847
Provider Enumeration Date 2006-03-16
Last Updated Date 2021-11-29

Provider Mailing Address Detail

Address 4405 Vandever Ave
City San Diego
State California (CA)
Post Code 921203315
Phone Number 8002905000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No A065118
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

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FAQs about Michael A Mikus

What is the Michael A Mikus's 1215906847?

The Michael A Mikus's NPI (National Provider Identifier) Number is 1215906847. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael A Mikus is physically located?

The Michael A Mikus is physically situated at the following address: 4405 Vandever Ave, San Diego, CA, 921203315.

What is Michael A Mikus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael A Mikus's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.

On what date did the Michael A Mikus receive the assignment of its 1215906847 from the Centers for Medicare & Medicaid Services?

The Michael A Mikus was issued its 1215906847 by the Centers for Medicare & Medicaid Services on 2006-03-16.

As of what date were the Michael A Mikus's details last updated?

The information pertaining to the Michael A Mikus, including its address, specialty, and other details, was most recently updated on 2021-11-29.

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