Michael John Michaelides JR.
NPI #1003163270 in Los Angeles, California
Provider Information
- NPI Number
- 1003163270
- Entity Type
- Individual
- Name
- Michael John Michaelides JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Aug 7, 2012
- Last Updated
- Feb 28, 2023
Practice Location
- Address
- 679 S NEW HAMPSHIRE AVE STE 400
- City
- Los Angeles
- State
- California
- ZIP Code
- 90005-1355
- Phone
- (213) 639-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
| Licensed Psychiatric Technician |
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