Mikus, Michael A

Mikus, Michael A is an individual health care provider with primary practice located at 4405 Vandever Ave , San Diego CA 92120-3315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mikus, Michael A can be contacted via phone (800) 290-5000.

Contact Information

Primary practice address
4405 Vandever Ave San Diego CA 92120-3315
Phone: (800) 290-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036107899 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A065118 California

Profile Details

NPI number 1215906847
LBN Legal business name Mikus, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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