Individual
H. MICHAEL MYNATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N VERMONT AVE, DOCTORS TOWER -- SUITE 100, LOS ANGELES, CA 90027-6061
(323) 913-4300
(323) 931-4301
Mailing address
157 S WINDSOR BLVD, LOS ANGELES, CA 90004-3817
(323) 660-7575
(818) 638-5762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G28022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G280220
—
CA
05
—
1326100207
—
CA
Enumeration date
12/15/2006
Last updated
06/25/2020
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