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Individual

MS. AMELIA L MITTLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2216 SANTA MONICA BLVD STE 101, SANTA MONICA, CA 90404-2316
(310) 829-9099
Mailing address
1301 20TH ST, STE 465, SANTA MONICA, CA 90404-2050
(310) 829-9099

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52387
CA
363A00000X
Physician Assistant
Primary
52397
CA

Other

Enumeration date
04/05/2012
Last updated
10/19/2023
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