Provider Demographics
NPI:1295785236
Name:KULUZ, MICHAEL ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:KULUZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:770 THE CITY DRIVE SOUTH
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4929
Mailing Address - Country:US
Mailing Address - Phone:800-463-6628
Mailing Address - Fax:714-620-3008
Practice Address - Street 1:3196 S MARYLAND PKWY
Practice Address - Street 2:SUITE 217
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2305
Practice Address - Country:US
Practice Address - Phone:702-733-4944
Practice Address - Fax:702-733-6507
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2015-01-26
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Provider Licenses
StateLicense IDTaxonomies
NV10943174400000X
WAMD605162362080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No174400000XOther Service ProvidersSpecialist