| Doctor Name: | MR. MICHAEL OSBORNE |
| NPI Number: | 1053550319 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DC |
| License Number: | RHF65798 |
| Business Practice Address: | 1824 Viola Pl Unit B Costa Mesa, CA - 926272725 |
| Business Phone Number: | 9492785671 |
| Business Fax Number: | |
| Mailing Address: | 1824 Viola Pl Unit B, COSTA MESA |
| State: | CA |
| Postal Code: | 926272725 |
| Phone Number: | 9492785671 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2009 |
| NPI Last Update Date: | 02/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471Q0001X |
| License Number: | RHF65798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Quality Management |
| Taxonomy Definition: | |