Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL ALLEN PETRELLI, DO
ActiveMICHAEL ALLEN PETRELLI, DO is a 2083A0100X healthcare provider located in POINT MUGU NAWC, California. NPI 1184264780 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · POINT MUGU NAWC, CA
Registration Details
- NPI Number
- 1184264780
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2020 (6.6380224642886 yrs)
- Last Updated
- Sep 10, 2024
- Licenses
-
009132 (AZ)22738 (CA)
Practice Information
- Address
-
1 DISPENSARY ROADPOINT MUGU NAWC, CA, 930420001Browse CA providers · Browse ZIP 93042
- Phone
- 8059898815
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 2083A0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.