Anitha Mitchell MD A Proffessional Corp

Internal Medicine in Inglewood, CA. Organization (NPI-2).

NPI number1235528092

StatusActive

Last updated in NPPESJan 16, 2015

Details

NPI: 1235528092
Entity type: Organization (NPI-2)
Legal business name: Anitha Mitchell MD A Proffessional Corp
Organization subpart: No
Enumeration date: Jan 16, 2015
Last updated: Jan 16, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes

Practice location

211 N Prairie Ave
Inglewood, CA 90301-1412

Phone 310-673-9499 · Fax 310-677-5643

Mailing address

211 N Prairie Ave
Inglewood, CA 90301-1412

Phone 310-673-9499 · Fax 310-677-5643

Authorized official

Anitha T. Mitchell
Owner
3106739499

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Other Internal Medicine Physician providers in Inglewood, CA

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