Organization
SO BAY SURGICAL CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC G. MITTLEMAN DPM (PRESIDENT)
(310) 540-1213
Entity
Organization
Contact information
Practice address
21250 HAWTHORNE BLVD, SUITE 160, TORRANCE, CA 90503-5506
(310) 540-1213
Mailing address
23500 MADISON ST, TORRANCE, CA 90505-4702
(310) 784-2710
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2620
CA
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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