Organization
RAJ A. MITTAL, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ A MITTAL M.D. (PRESIDENT)
(310) 483-5411
Entity
Organization
Contact information
Practice address
868 VIA DEL MONTE, PALOS VERDES ESTATES, CA 90274-1664
(310) 483-5411
(844) 704-5739
Mailing address
868 VIA DEL MONTE, PALOS VERDES ESTATES, CA 90274-1664
(310) 483-5411
(844) 704-5739
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A123128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356541338
INDIVIDUAL MEDICARE NPI
CA
Enumeration date
09/20/2016
Last updated
04/28/2020
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