Individual
WESLEY T MIZUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19066 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646-2232
(714) 968-0068
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A40745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A407450
MEDI CAL
CA
Enumeration date
07/19/2005
Last updated
01/01/2026
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