Michael Hermansen, PA-C

NPI #1528518073 in Los Alamitos, California

Provider Information

NPI Number: 1528518073
Entity Type: Individual
Name: Michael Hermansen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 8, 2016
Last Updated: May 9, 2019

Practice Location

Address: 3851 KATELLA AVE STE 100
City: Los Alamitos
State: California
ZIP Code: 90720-3385
Phone: (562) 424-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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