Mitu, Brian Paul

Mitu, Brian Paul is an individual health care provider with primary practice located at 29409 S Western Ave , Rancho Palos Verdes CA 90275-1137. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Mitu, Brian Paul can be contacted via phone (310) 891-6684.

Contact Information

Primary practice address
29409 S Western Ave Rancho Palos Verdes CA 90275-1137
Phone: (310) 891-6684
Fax: (310) 514-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 18341 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16318 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 16318 California

Profile Details

NPI number 1528015849
LBN Legal business name Mitu, Brian Paul
Credentials F.N.P., P.A.-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Feb 25th, 2024 - about 9 months 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 1528015849 NPPES
California Other 18341 PA-C LICENSE NUMBER
California Other 16318 PA-C LICENSE NUMBER

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