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Organization
SEVEN O ONE MEDICAL CLINIC, INC
Active
Organization
SEVEN O ONE MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY TODD MITCHELL MD (CEO/OWNER)
(831) 588-2192
Entity
Organization
Contact information
Practice address
701 N ALVARADO ST STE A, LOS ANGELES, CA 90026-4005
(213) 302-2472
Mailing address
701 N ALVARADO ST STE A, LOS ANGELES, CA 90026-4005
(213) 302-2472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G59020
G59020
CA
Enumeration date
06/30/2021
Last updated
06/30/2021
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