Individual
MITCHELL W LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14642 NEWPORT AVE STE 101, TUSTIN, CA 92780-6058
(714) 581-6470
(714) 581-6492
Mailing address
PO BOX 11466, SANTA ANA, CA 92711-1466
(714) 581-6470
(714) 581-6492
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G64179
CA
Other
Enumeration date
03/26/2015
Last updated
06/09/2015
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