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MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION NPI 1861721250


NPI Information

NPI: 1861721250
Provider Name: MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1503 S COAST DR
SUITE 111
COSTA MESA, CA
ZIP 92626
Phone: (949) 467-9081
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MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION is a specialist in Costa Mesa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION NPI is 1861721250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1503 S COAST DR
SUITE 111
COSTA MESA, CA
ZIP 92626-534
Phone: (949) 467-9081
Fax: (714) 429-1685

The provider's authorized official is Michael K Wensley .
The authorized official title is President and has the following contact phone number (949) 705-8226.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 4/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG78267CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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