| Doctor Name: | DR. MICHAEL ROSS LAND |
| NPI Number: | 1184057291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A12886 |
| Business Practice Address: | 1000 Bristol St N Ste 1b Newport Beach, CA - 926608916 |
| Business Phone Number: | 5104397933 |
| Business Fax Number: | 9497526333 |
| Mailing Address: | 1000 Bristol St N, Ste 1b NEWPORT BEACH |
| State: | CA |
| Postal Code: | 926608916 |
| Phone Number: | 5104397933 |
| Fax Number: | 9497526333 |
| NPI Enumeration Date: | 08/12/2013 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A12886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |