Dr. David J Michelson
Neonatal-Perinatal Doctor Child Neurologist
2195 Club Center Dr Ste A
San Bernardino
, California 92408-4170
Dr. David J Michelson
Neonatal-Perinatal Doctor Child Neurologist
2195 Club Center Dr Ste A
San Bernardino
, California 92408-4170
(909) 558-0479
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About
Features
Specialties
- Neonatal-Perinatal Doctor
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. David J Michelson
- 11175 Campus St Cp A1120f
- Loma Linda, CA
- Zip : 92350-1700
- Fax : (909) 558-0479
- Phone : (909) 558-8242
Second Address
- Dr. David J Michelson
- 2195 Club Center Dr Ste A
- San Bernardino, CA
- Zip : 92408-4170
- Fax : (909) 835-1780
- Phone : (909) 835-1810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | A72008 | CA |
| N | 2084N0402X | Child Neurologist | A72008 | CA |
National Provider Identifier
| NPI | 1043233737 |
|---|---|
| Provider Name | Dr. David J Michelson |
| First Address | Loma Linda, CA 92350-1700 |
| Second Address | San Bernardino, CA 92408-4170 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 08/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I13500 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.