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Contact Information

MICHAEL J METICHECCHIA
360 GRAND CYPRESS AVE STE 304
PALMDALE, CA93551-3646
 Phone: 661-723-3700
 Fax: 661-723-3799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

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

NPI # 1922230796
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2009
Last updated 10/28/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # C46460
Hospital affiliation(s) Not Available
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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