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General NPI Number Information
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NPI Number | 1578472791
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Entity Type | Organization
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Legal Business Name | PAUL MITTERMILLER, MD INC.
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1317 5TH ST STE 300
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City | SANTA MONICA
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State | CA
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Zip | 90401-1433
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Country | US
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Telephone | 858-255-4223
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Fax | 910-335-8228
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Provider Business Mailing Address
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Address Line | 13157 MINDANAO WAY # 581
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6307
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Country | US
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Telephone | 858-255-4223
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Fax | 910-335-8228
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL MITTERMILLER
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Credential | MD
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Telephone | 858-255-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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