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NPI Code Detail

MEDICARE: MITCHELL J SPIRT M.D.

MEDICARE: MITCHELL J SPIRT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianG75156CA

General Provider Information

NPI Number : 1568476471
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL J SPIRT M.D.
Provider Business Mailing Address
First Line : 5015 ROMA CT
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-7271
Country : US
Telephone Number : 310-551-0082
Fax Number :
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK EAST
Second Line : SUITE 1106
City : LOS ANGELES
State : CA
Zip : 90067-2014
Country : US
Telephone Number : 310-551-0082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 09/14/2012

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