Physician Compare National (NPI:1356541338)

HEALTHCARE PROVIDER: RAJ ANAND MITTAL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356541338
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830324425
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141023001301
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MITTAL
	Individual professional last name
Provider First Name	RAJ
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3747 WORSHAM AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	LONG BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	908081734
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050351
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TORRANCE MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050078
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050104
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050353
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050581
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	LAKEWOOD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1356541338)

HEALTHCARE PROVIDER: RAJ ANAND MITTAL M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information