Individual
DR. ALAN ROBERT MIZUTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1525 SUPERIOR AVE STE 114, NEWPORT BEACH, CA 92663-3639
(949) 646-6999
(949) 646-9699
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1010
(714) 347-1082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G62366
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G62366
CA
Other
Enumeration date
02/01/2006
Last updated
07/08/2024
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