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NPI Code Detail

MEDICARE: JAMES JOSEPH MITCHNER MD

MEDICARE: JAMES JOSEPH MITCHNER MD
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
12083X0100XOccupational Medicine PhysicianG62397CA

General Provider Information

NPI Number : 1740338672
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES JOSEPH MITCHNER MD
Provider Business Mailing Address
First Line : 1011 BALDWIN PARK BLVD
Second Line :
City : BALDWIN PARK
State : CA
Zip : 91706-5806
Country : US
Telephone Number : 626-851-1011
Fax Number :
Provider Business Practice Location Address
First Line : 9405 FAIRWAY VIEW PL
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0932
Country : US
Telephone Number : 909-481-7345
Fax Number : 909-484-8661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 12/01/2021

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Directions to “ JAMES JOSEPH MITCHNER MD” Practice Location

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