Provider Demographics
NPI:1992996581
Name:OEST, MICHAEL (CPO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:OEST
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 SANTA FE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2718
Mailing Address - Country:US
Mailing Address - Phone:562-298-4070
Mailing Address - Fax:562-774-0514
Practice Address - Street 1:8201 SANTA FE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2718
Practice Address - Country:US
Practice Address - Phone:562-298-4070
Practice Address - Fax:562-774-0514
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPO 2583174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6039290001Medicare NSC