| Paul Mittermiller, MD | |
|
4640 Admiralty Way Ste 718, Marina Del Rey, CA 90292-6634 | |
| (310) 823-4444 | |
| Not Available |
| Full Name | Paul Mittermiller |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 4640 Admiralty Way Ste 718, Marina Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790123131 | NPI | - | NPPES |
| 390200000X | Other | CA | STUDENT TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A131915 (California) | Primary |
| Entity Name | Md Solutions Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902837735 PECOS PAC ID: 1759379993 Enrollment ID: O20040505000671 |
| Entity Name | Farhad Sigari Md Facs Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639459654 PECOS PAC ID: 2567635261 Enrollment ID: O20111025000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Mittermiller, MD 4712 Admiralty Way # 581, Marina Del Rey, CA 90292-6905 Ph: (858) 255-4223 | Paul Mittermiller, MD 4640 Admiralty Way Ste 718, Marina Del Rey, CA 90292-6634 Ph: (310) 823-4444 |
Justin Perez, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, Marina Del Rey, CA 90292 Phone: 813-446-4867 | |
Xiao Zhu, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 256, Marina Del Rey, CA 90292 Phone: 310-846-8457 | |
Dr. Herbert Michael Goldberg, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4403 Ocean Front Walk Apt 204, Marina Del Rey, CA 90292 Phone: 310-821-1904 Fax: 310-821-1916 | |
Dr. Jonathan Kanevsky, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd Ste 552, Marina Del Rey, CA 90292 Phone: 514-458-7548 |