| John H Mitchell Md Inc | |
|
2874 E Imperial Hwy Brea CA 92821-6714 | |
| (714) 996-2390 | |
| (714) 996-2301 |
| Full Name | John H Mitchell Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2874 E Imperial Hwy, Brea, California |
| Authorized Official Name and Position | John Hugh Mitchell (PRESIDENT) |
| Authorized Official Contact | 7149962390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John H Mitchell Md Inc 2874 E Imperial Hwy Brea CA 92821-6714 Ph: (714) 996-2390 | John H Mitchell Md Inc 2874 E Imperial Hwy Brea CA 92821-6714 Ph: (714) 996-2390 |
| NPI Number | 1285050450 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 6002032067 |
|---|---|
| Medicare Enrollment ID | O20140728001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285050450 | NPI | - | NPPES |
| 1225024912 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A42500 (California) | Primary |
| Provider Name | John H Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225024912 PECOS PAC ID: 0941244222 Enrollment ID: I20050616001227 |
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