Mr Theodore R Mitchell Iv, RDN - Dietitian in Los Angeles, CA

Mr Theodore R Mitchell Iv, RDN is a Dietitian, Registered - Nutrition, Pediatric based in Los Angeles, California. Mr Theodore R Mitchell Iv is licensed to practice in * (Not Available) (license number ) and his current practice location is 1727 W 51st Pl, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (424) 646-0619.

NPI number for Mr Theodore R Mitchell Iv is 1063269587 and his current mailing address is 1727 W 51st Pl, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063269587.

Contact Information

Mr Theodore R Mitchell Iv, RDN
1727 W 51st Pl,
Los Angeles, CA 90062-2341
(424) 646-0619
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Theodore R Mitchell Iv
GenderMale
SpecialityDietitian, Registered - Nutrition, Pediatric
Location1727 W 51st Pl, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063269587
  • Provider Enumeration Date: 05/02/2024
  • Last Update Date: 05/02/2024

Medical Identifiers

Medical identifiers for Mr Theodore R Mitchell Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063269587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1004XDietitian, Registered - Nutrition, Pediatric (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore R Mitchell Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Theodore R Mitchell Iv, RDN
1727 W 51st Pl,
Los Angeles, CA 90062-2341

Ph: (424) 646-0619
Mr Theodore R Mitchell Iv, RDN
1727 W 51st Pl,
Los Angeles, CA 90062-2341

Ph: (424) 646-0619

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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