Individual
WENDY G MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 SUNSET BLVD., MS# 82, LOS ANGELES, CA 90027-6062
(323) 669-2471
(323) 361-1109
Mailing address
6430 SUNSET BLVD., SUITE 600, LOS ANGELES, CA 90028-7900
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A91072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G277250
—
CA
Enumeration date
10/25/2006
Last updated
11/14/2012
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