| James F Mitchell Jr Md Inc | |
|
2705 Loma Vista Rd Ste 205 Ventura CA 93003 | |
| (805) 585-3086 | |
| Not Available |
| Full Name | James F Mitchell Jr Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2705 Loma Vista Rd Ste 205, Ventura, California |
| Authorized Official Name and Position | James F Mitchell (PRESIDENT) |
| Authorized Official Contact | 8058868193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James F Mitchell Jr Md Inc Po Box 1206 Goleta CA 93116-1206 Ph: (805) 964-3838 | James F Mitchell Jr Md Inc 2705 Loma Vista Rd Ste 205 Ventura CA 93003 Ph: (805) 585-3086 |
| NPI Number | 1063998615 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/30/2018 |
| Medicare PECOS PAC ID | 2961752936 |
|---|---|
| Medicare Enrollment ID | O20180912003270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063998615 | NPI | - | NPPES |
| G46712 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G46712 (California) | Primary |
| Provider Name | Alicia Haglund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760449581 PECOS PAC ID: 0042109001 Enrollment ID: I20040316001065 |
| Provider Name | James F Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598705485 PECOS PAC ID: 0941292122 Enrollment ID: I20040330001156 |
| Provider Name | Noelle Lee Windsor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306331129 PECOS PAC ID: 2466854435 Enrollment ID: I20210713003013 |
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