Individual provider · Type 1 NPI
Roxanne Cano Mickelson, MD
Facial Plastic Surgery Physician · Orange, CA
NPI number
1295081248
Active
Practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Other practice locations
- 625 Pole Line Rd W Ste 2B, Twin Falls, ID 83301-4270 · (208) 814-7350
- 34800 Bob Wilson Dr, San Diego, CA 92134-1098 · (619) 553-9600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | P8160 (TX) |
| Otolaryngology Physician | 207Y00000X | M-17464 (ID) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | C206957 (CA) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
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About NPI 1295081248
Roxanne Cano Mickelson, MD's National Provider Identifier is 1295081248, issued on Jul 27, 2012. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Orange, CA. The record was last updated on Jul 28, 2026.