Elliot R. Mitchell CRNA

NPI 1053419010 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1053419010
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12304 SANTA MONICA BLVD
SUITE 112
LOS ANGELES CA, 90025-2551, US
Phone (310) 820-5738
Fax
Business Location
3050 E AIRPORT WAY
LONG BEACH CA, 90806-2404, US
Phone (562) 426-9661
Fax
Toxanomy
Taxonomy Code 367500000X
License State California
License Number 393
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According to our database, Elliot R. Mitchell CRNA NPI is 1053419010, taxonomy code is 367500000X and license number is 393, license state is located at California. Elliot R. Mitchell CRNA physically located at 12304 Santa Monica Blvd, Los Angeles CA, 90025-2551. NPI Number Elliot R. Mitchell CRNA has the Individual type.

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1053419010 NPI number is provided on an as is basis without warranty of any kind. 1053419010 is maintained by the National Plan & Provider Enumeration System. The contents of Elliot R. Mitchell CRNA are for informational purposes only.