NPI 1003163270

Michael John Michaelides

Practitioner Licensed Psychiatric Technician Los Angeles, CA

Practice location

Address: 679 S New Hampshire Ave STE 400, Los Angeles, CA 90005-1355
Phone: (213) 639-2500

Registered specialties (2)

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence LPT42462 (CA)

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003163270
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2012
Record last updated: 28 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.