Doctor Name: | MICHAEL ANTHONY CERNI |
NPI Number: | 1154652659 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A4899 |
Business Practice Address: | 4 Cavalier Laguna Niguel, CA - 926772776 |
Business Phone Number: | 9496372072 |
Business Fax Number: | |
Mailing Address: | 4 Cavalier, LAGUNA NIGUEL |
State: | CA |
Postal Code: | 92677 |
Phone Number: | 9496372072 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2010 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A4899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |