Organization
HARRY MITTELMAN, MD A PROF. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TOCTS (OM)
(626) 331-6170
Entity
Organization
Contact information
Practice address
795 ALTOS OAKS DR, LOS ALTOS, CA 94024-5428
(650) 209-1100
(650) 209-1110
Mailing address
2017 W GARVEY AVE N, WEST COVINA, CA 91790-2050
(626) 814-9604
(626) 814-9704
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
C30674
CA
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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