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Justin Mikesell
NPI 1649991720 · on the registry since 2022
Practice
- Address
- 3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320 - Phone
- (805) 298-7034
- Organisation at this address
- Sunrise Dermatology Pc
California Allergy Institute, Inc.
California Dermatology Institute PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-07
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