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Organization
SO BAY SURGICAL CARE GROUP
Active
Organization
SO BAY SURGICAL CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC G. MITTLEMAN DPM (PRESIDENT)
(310) 540-1213
Entity
Organization
Contact information
Practice address
21250 HAWTHORNE BLVD, SUITE 160, TORRANCE, CA 90503-5506
(310) 540-1213
Mailing address
23500 MADISON ST, TORRANCE, CA 90505-4702
(310) 784-2710
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2620
CA
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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