# RALPH T. MITARAI, M.D., PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871587469
- **Authorized official:** RALPH T MITARAI M.D. (PRESIDENT)
- **Authorized official phone:** (707) 938-1480

## Contact information

- **Practice address:** 347 ANDRIEUX ST, SONOMA, CA 95476-6811
- **Practice address phone:** (707) 938-1480
- **Practice address fax:** (707) 938-1758
- **Mailing address:** PO BOX 2311, CHATSWORTH, CA 91313-2311
- **Mailing address phone:** (818) 718-9500
- **Mailing address fax:** (818) 718-9507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 01/12/2009