person
Mr. Michael Scott Mortensen, PHYSICIANASSISTANT
Medical Physician Assistant in Thousand Oaks, California
NPI 1124671532

Michael Scott Mortensen is a Medical Physician Assistant based in Thousand Oaks, CA and is specialized in Medical. Michael Scott Mortensen practices in Thousand Oaks, CA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Michael Scott Mortensen is 1124671532 and holds a License No. 56485 (California).

The current practice location address for Michael Scott Mortensen is 425 Haaland Dr Ste 102, Thousand Oaks, CA and can be reached out via phone at 805-723-8008.

Location: 425 Haaland Dr Ste 102, Thousand Oaks, CA, 91360-7025
person
Provider Profile Details
NPI Number
1124671532
Provider Name
Michael Scott Mortensen
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
425 Haaland Dr Ste 102, Thousand Oaks, CA, 91360-7025
Phone Number
805-723-8008
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
425 Haaland Dr Ste 102
City
State
Zip
91361-5230
Phone Number
805-723-8008
Fax Number
person
Provider Business Mailing Address Details
Address
425 Haaland Dr Ste 102
City
State
Zip
91361-5230
Phone Number
805-723-8008
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
56485 (California)
Definition
Definition to come...
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