Individual
DR. PAYAL BANSAL MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S MAIN ST, SUITE 101, ORANGE, CA 92868-4507
(714) 836-4204
Mailing address
500 S MAIN ST, SUITE 101, ORANGE, CA 92868-4507
(714) 836-4204
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A113174
CA
Other
Enumeration date
01/16/2008
Last updated
12/06/2021
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