MR. Michael Scott Mortensen, PHYSICIAN ASSISTANT
NPI #1124671532 in Thousand Oaks, California
Provider Information
- NPI Number
- 1124671532
- Entity Type
- Individual
- Name
- MR. Michael Scott Mortensen, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 24, 2019
- Last Updated
- Jul 24, 2019
Practice Location
- Address
- 425 HAALAND DR STE 102
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91361-5230
- Phone
- (805) 723-8008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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