| Mark R Mitchell, MD | |
|
2001 N. Solar Dr., Suite 135, Oxnard, CA 93036 | |
| (805) 988-0616 | |
| Not Available |
| Full Name | Mark R Mitchell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2001 N. Solar Dr., Suite 135, Oxnard, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972729937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G45665 (California) | Primary |
| Entity Name | I. Grossman M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366463572 PECOS PAC ID: 7113001884 Enrollment ID: O20080220000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Mitchell, MD 11151 E. Las Posas Rd., Santa Rosa Valley, CA 93012 Ph: () - | Mark R Mitchell, MD 2001 N. Solar Dr., Suite 135, Oxnard, CA 93036 Ph: (805) 988-0616 |
Behzad Noorbehesht, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1901 Outlet Center Drive, Oxnard, CA 93036 Phone: 805-604-9500 Fax: 805-604-9559 | |
Irwin Grossman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Solar Dr Ste 135, Oxnard, CA 93036 Phone: 805-988-0616 Fax: 805-278-5570 | |
Dr. Henry Z Montes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 N Rose Ave, Suite 120, Oxnard, CA 93030 Phone: 805-988-2657 Fax: 805-981-4456 | |
Dr. William King Iii, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2001 Solar Dr, Suite 135, Oxnard, CA 93036 Phone: 805-988-0616 Fax: 805-604-1722 | |
Paul V Koscheski, MD Radiology Medicare: Medicare Enrolled Practice Location: 1901 Outlet Center Dr, Oxnard, CA 93036 Phone: 310-805-1667 | |
Sean Chang, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1901 Outlet Center Dr, Suite 120, Oxnard, CA 93036 Phone: 805-604-9500 |