Individual
EMMANUEL J. MITSINIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 SAN BERNARDINO ROAD, SUITE 1100, UPLAND, CA 91786-4952
(909) 949-2242
(909) 981-5783
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A129296
CA
Other
Enumeration date
05/16/2012
Last updated
11/18/2020
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