Mittermiller, Paul

Mittermiller, Paul is an sole proprietor health care provider with primary practice located at 4640 Admiralty Way Ste 718 , Marina Del Rey CA 90292-6634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mittermiller, Paul can be contacted via phone (310) 823-4444.

Contact Information

Primary practice address
4640 Admiralty Way Ste 718 Marina Del Rey CA 90292-6634
Phone: (310) 823-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A131915 California

Profile Details

NPI number 1790123131
LBN Legal business name Mittermiller, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2013
Last updated Sep 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790123131 NPPES
California Other 390200000X STUDENT TAXONOMY

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