Individual
DR. MICHAEL HEWITT MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 N ASHWOOD AVE, VENTURA, CA 93003-1810
(805) 658-5800
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
0101036268
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G12577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101036268
STATE LICENSE
VA
Enumeration date
10/03/2006
Last updated
03/08/2021
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