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DR. MICHELLE M. ALGARIN M.D.

>> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609872126

Individual Registrant:
DR. MICHELLE M. ALGARIN M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23961 MAGDALENA #520 LAGUNA HILLS, CA 92653 US
Tel: 949-855-3376  Fax: 949-609-1971

Contact information for business:
23961 MAGDALENA #520 LAGUNA HILLS, CA 92653 US
Tel: 949-855-3376  Fax: 949-609-1971

Registration Information:
NPI: 1609872126
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XAllopathic & Osteopathic Physicians
Dermatology
CAG85189
N207ND0101XAllopathic & Osteopathic Physicians
Dermatology
CAG85189
N207ND0900XAllopathic & Osteopathic Physicians
Dermatology
CAG85189
N207NS0135XAllopathic & Osteopathic Physicians
Dermatology
CAG85189

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICARE PROVIDER #P00092882CA01
TAX IDENTIFICATION NUMBER010715071CA01
DEA NUMBERBA6318869CA01
MEDICARE INDIVIDUAL PTANWG85189ICA01
STATE LICENSE NUMBERG85189CA01




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