| Doctor Name: | DR. MICHAEL HENDERSON OWENS |
| NPI Number: | 1275728388 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G52962 |
| Business Practice Address: | 3177 Ocean View Blvd San Diego, CA - 921131432 |
| Business Phone Number: | 6192319300 |
| Business Fax Number: | 6193981536 |
| Mailing Address: | 18777 Olmeda Pl, SAN DIEGO |
| State: | CA |
| Postal Code: | 921281129 |
| Phone Number: | 6192510923 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G52962 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |