Healthcare Provider Details

I. General information

NPI: 1477290674
Provider Name (Legal Business Name): LAVINIA RUXANDRA MITROI MD, DRPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W SUNSET BLVD
LOS ANGELES CA
90027-6062
US

IV. Provider business mailing address

25270 LA MAR RD APT A
LOMA LINDA CA
92354-3015
US

V. Phone/Fax

Practice location:
  • Phone: 323-361-4937
  • Fax:
Mailing address:
  • Phone: 909-709-6546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA188774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: