Mitton, Gregory

Mitton, Gregory is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mitton, Gregory can be contacted via phone (323) 361-3550.

Contact Information

Primary practice address
4650 W Sunset Blvd Los Angeles CA 90027-6062
Fax: (323) 361-8052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 238015 New York

Profile Details

NPI number 1255302139
LBN Legal business name Mitton, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 3rd, 2017 - about 7 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 1255302139 NPPES
New York MEDICAID 02394461

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