05D0678585 CLIA NUMBER - MICHAEL B MORTAZIE DO INC

Laboratory Demographics

CLIA Number: 05D0678585

Facility Name: MICHAEL B MORTAZIE DO INC

Facility Address:
1506 E CHAPMAN AVE
ORANGE, CA
ZIP 92866
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Facility Phone Number: (714) 538-8556

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1457616914

Taxonomy: 207ND0101X - Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CLIA Record

Field Name	Field Value
CLIA Number	05D0678585
LAB Type	PHYSICIAN OFFICE
Facility Name	MICHAEL B MORTAZIE DO INC
Street	1506 E CHAPMAN AVE
City	ORANGE
State	CA
ZIP	92866
Phone	(714) 538-8556

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This page was last updated on: 5/11/2023