O'Leary, Michael Joseph

O'Leary, Michael Joseph is an individual health care provider with primary practice located at 3590 Camino Del Rio N Ste 101, San Diego CA 92108-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. O'Leary, Michael Joseph can be contacted via phone (619) 229-4903.

Contact Information

Primary practice address
3590 Camino Del Rio N Ste 101 San Diego CA 92108-1716
Fax: (619) 229-4947
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X G56751 California

Profile Details

NPI number 1417986613
LBN Legal business name O'Leary, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Dec 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417986613 NPPES
California MEDICAID 00G567510

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