Individual
GREGORY MITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-3550
(323) 361-8052
Mailing address
3701 WILSHIRE BLVD, 600, LOS ANGELES, CA 90010-2804
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
238015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02394461
—
NY
Enumeration date
01/30/2006
Last updated
04/03/2017
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