Watanabe, Mitchell

Watanabe, Mitchell is an individual health care provider with primary practice located at 1212 W 17Th St , Santa Ana CA 92706-3418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Watanabe, Mitchell can be contacted via phone (714) 641-7100.

Contact Information

Primary practice address
1212 W 17Th St Santa Ana CA 92706-3418
Phone: (714) 641-7100
Fax: (714) 434-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A44130 California

Profile Details

NPI number 1528049996
LBN Legal business name Watanabe, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 21st, 2011 - about 15 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 1528049996 NPPES
California MEDICAID 00A441300

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