Mortensen, Michael Scott

Mortensen, Michael Scott is an individual health care provider with primary practice located at 425 Haaland Dr Ste 102 , Thousand Oaks CA 91361-5230. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mortensen, Michael Scott can be contacted via phone (805) 723-8008.

Contact Information

Primary practice address
425 Haaland Dr Ste 102 Thousand Oaks CA 91361-5230
Phone: (805) 723-8008
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 56485 California

Profile Details

NPI number 1124671532
LBN Legal business name Mortensen, Michael Scott
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Jul 24th, 2019 - about 6 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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