Search › California › 208D00000X
Spiros Mikelatos, M.D
NPI 1528158250 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4864 Santa Monica Blvd
Los Angeles, CA 90029 - Phone
- (323) 664-9000
- Fax
- (323) 664-9400
- Organisation at this address
- Edgemont Medical Clinic
Holy Cross Urgent Care, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 174400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California