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NPI Code Detail

MEDICARE: NATASHA MITCHNICK PPS

MEDICARE: NATASHA MITCHNICK PPS
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
1103TS0200XSchool Psychologist2402216893CA

General Provider Information

NPI Number : 1710836895
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA MITCHNICK PPS
Provider Business Mailing Address
First Line : 225 S OLIVE ST APT 2002
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-4909
Country : US
Telephone Number : 213-867-6300
Fax Number :
Provider Business Practice Location Address
First Line : 2801 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3113
Country : US
Telephone Number : 213-867-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ NATASHA MITCHNICK PPS” Practice Location

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