1750434304 NPI number — MS. CHRISTINA MITCHELL CHRISTINA MITCHELL

Table of content: MS. CHRISTINA MITCHELL CHRISTINA MITCHELL (NPI 1750434304)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750434304 NPI number — MS. CHRISTINA MITCHELL CHRISTINA MITCHELL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL
Provider First Name:
CHRISTINA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CHRISTINA MITCHELL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750434304
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2550 HONOLULU AVE STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTROSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91020-1860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-925-6263
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2550 HONOLULU AVE
Provider Second Line Business Practice Location Address:
#107
Provider Business Practice Location Address City Name:
MONTROSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91020-1858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-249-8858
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFC31466 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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