Individual
MR. BRIAN PAUL MITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P., P.A.-C
Contact information
Practice address
11100 WARNER AVE STE 162, FOUNTAIN VALLEY, CA 92708-7510
(562) 786-6723
(562) 786-6956
Mailing address
21515 HAWTHORNE BLVD STE 200, TORRANCE, CA 90503-6512
(562) 786-6723
(562) 786-6956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
18341
CA
363LF0000X
Family Nurse Practitioner
16318
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
16318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16318
FNP LICENSE NUMBER
CA
01
—
18341
PA-C LICENSE NUMBER
CA
Enumeration date
05/30/2006
Last updated
06/17/2026
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