Individual
MITCHELL THOR GUDMUNDSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W. ARBOR DRIVE, SAN DIEGO, CA 92103-8756
(619) 944-2347
Mailing address
1716 5TH ST, MANHATTAN BEACH, CA 90266-6313
(619) 944-2347
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
115317
CA
Other
Enumeration date
03/25/2009
Last updated
03/31/2015
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