Individual
DR. EVAGGELOS GARY MITREVOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24552 PACIFIC PARK DR, ALISO VIEJO, CA 92656-3055
(949) 446-0099
(949) 606-9297
Mailing address
174 FIREFLY, IRVINE, CA 92618-8886
(949) 680-7760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C164635
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
C164635
CA
Other
Enumeration date
06/26/2010
Last updated
04/08/2024
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