Andrew J. Mikaelian, M.D.
Otolaryngology in Westlake Village, CA. Individual provider (NPI-1).
NPI number1891740973
StatusActive
Last updated in NPPESSep 18, 2007
Details
- NPI
- 1891740973
- Entity type
- Individual (NPI-1)
- Name
- Andrew J. Mikaelian
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Sep 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | G65309 | CA | Yes |
Practice location
1240 Westlake Blvd.Suite 135
Westlake Village, CA 91361-1987
Phone 805-494-9993 · Fax 805-494-0843
Mailing address
1240 Westlake Blvd.Suite 135
Westlake Village, CA 91361-1987
Phone 805-494-9993 · Fax 805-494-0843
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