Individual
AVERY C MITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1154 N EUCLID ST, ANAHEIM, CA 92801-1955
(714) 635-6272
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
(714) 973-2655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G65682
CA
Other
Enumeration date
11/16/2006
Last updated
10/04/2007
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