Provider Demographics
NPI:1487629671
Name:MARGER, MICHAEL DARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DARREN
Last Name:MARGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16702 VALLEY VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-5824
Mailing Address - Country:US
Mailing Address - Phone:714-367-5360
Mailing Address - Fax:714-635-5458
Practice Address - Street 1:6820 LA TIJERA BLVD STE 217
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1931
Practice Address - Country:US
Practice Address - Phone:310-218-4300
Practice Address - Fax:310-218-4310
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN47437207X00000X
CAA95445207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI29495Medicare UPIN