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Contact Information

MICHAEL J NIETO, MD
280 S MAIN ST STE 200
ORANGE, CA92868-3852
 Phone: 714-634-4567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MICHAEL J NIETO · (Male)

NPI Number 1861848947
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2016
Last updated 07/13/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A168679
Hospital affiliation(s)
  • HOAG MEMORIAL HOSPITAL PRESBYTERIAN - (Acute Care)
    ONE HOAG DRIVE
    NEWPORT BEACH, CA 92663
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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