Individual
PAUL MITTERMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4640 ADMIRALTY WAY STE 718, MARINA DEL REY, CA 90292-6634
(310) 823-4444
Mailing address
4712 ADMIRALTY WAY # 581, MARINA DEL REY, CA 90292-6905
(858) 255-4223
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A131915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT TAXONOMY
CA
Enumeration date
06/07/2013
Last updated
09/10/2021
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