Individual
ANIRBAN P MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
8635 W 3RD ST STE 1070W, LOS ANGELES, CA 90048-6137
(310) 423-4700
(310) 423-1886
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-4700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
152449
CA
208800000X
Urology Physician
S5994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418026701
—
TX
01
—
418026702
CSHCN MEDICAID TPI
TX
Enumeration date
01/11/2017
Last updated
05/27/2025
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