NPI Code Details Logo

NPI 1598705485

NPI 1598705485 : JAMES F MITCHELL JR. MD : VENTURA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598705485
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JAMES F MITCHELL JR. MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/07/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2705 LOMA VISTA RD STE 205 
-----------------------------------------------------
    City                 |    VENTURA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93003-1582
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-585-3086
-----------------------------------------------------
    Fax                  |    805-653-0161
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 10040 
-----------------------------------------------------
    City                 |    WESTMINSTER
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92685-0040
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-358-8179
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    G46712
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.