Individual
DR. JOSHUA P MITNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
47 PENNY LN STE 1, WATSONVILLE, CA 95076-6055
(831) 728-8844
(831) 763-7001
Mailing address
47 PENNY LN STE 1, WATSONVILLE, CA 95076-6055
(831) 728-8844
(831) 763-7001
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E5006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006092
—
OR
Enumeration date
08/29/2006
Last updated
10/24/2023
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