Provider Demographics
NPI:1407811854
Name:OBENG, MICHAEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:K
Last Name:OBENG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:435 N ROXBURY DRIVE SUITE 205
Mailing Address - Street 2:MIKO PLASTIC SURGERY
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-275-2705
Mailing Address - Fax:310-275-2701
Practice Address - Street 1:435 N ROXBURY DR STE 205
Practice Address - Street 2:MIKO PLASTIC SURGERY
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5004
Practice Address - Country:US
Practice Address - Phone:310-275-2705
Practice Address - Fax:310-275-2701
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2014-01-24
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Provider Licenses
StateLicense IDTaxonomies
CAA107087208200000X
OH35.0889142082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery