Provider Demographics
NPI:1780253344
Name:RESTREPO, MICHAEL LUIS (MS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LUIS
Last Name:RESTREPO
Suffix:
Gender:M
Credentials:MS
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Other - Credentials:
Mailing Address - Street 1:761 S LOS ROBLES AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3740
Mailing Address - Country:US
Mailing Address - Phone:949-244-8769
Mailing Address - Fax:
Practice Address - Street 1:1500 DUARTE RD
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3012
Practice Address - Country:US
Practice Address - Phone:626-218-0584
Practice Address - Fax:626-218-5495
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS