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MICHAEL KEVIN O'SHEA DPM

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1295846152

Individual Registrant:
 MICHAEL KEVIN O'SHEA DPM
Gender: M
Sole Proprietor

Location and contact information for practice:
1201 S HACIENDA BLVD SUITE 101 HACIENDA HTS, CA 91745-2200 US
Tel: 626-961-1882  Fax: 626-968-7599

Contact information for business:
1201 S HACIENDA BLVD SUITE 101 HACIENDA HTS, CA 91745-2200 US
Tel: 626-961-1882  Fax: 626-968-7599

Registration Information:
NPI: 1295846152
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
CAE2624

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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