MICHAEL SCOTT MORTENSEN

THOUSAND OAKS, CA
NPI1124671532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  56485)
Enumeration Date2019-07-24
Last Update Date2019-07-24
Business Address
Mr. MICHAEL SCOTT MORTENSEN Physician Assistant
425 HAALAND DR STE 102
THOUSAND OAKS, CA 91361-5230
Phone number: 805-723-8008
Mailing Address
Mr. MICHAEL SCOTT MORTENSEN Physician Assistant
3713 CORTE DE LOS REYES
THOUSAND OAKS, CA 91360-7025
Phone number: 805-529-3475
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