Organization
JERRY MITCHELL M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MITCHELL M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
2927 DE LA VINA ST, SANTA BARBARA, CA 93105-3362
(805) 324-4296
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G55977
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G55977
CA
Other
Enumeration date
03/30/2006
Last updated
11/28/2022
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