Doctor Name: | DR. HAROLD VINCENT MITZELFELT |
NPI Number: | 1972659670 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A19853 |
Business Practice Address: | 14417 Burbank Blvd Sherman Oaks, CA - 914014824 |
Business Phone Number: | 8187863318 |
Business Fax Number: | |
Mailing Address: | 26071 Tourelle Pl, VALENCIA |
State: | CA |
Postal Code: | 913551995 |
Phone Number: | 6612598079 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A19853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |