JERRY MITCHELL MD INC
Osteopathic Medicine at De La Vina St, Santa Barbara, CA

License number
California G55977
Category
Osteopathic Medicine
Type
Anesthesiology
License number
California G55977
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JERRY MITCHELL M.D.
Title: DIRECT OWNER
Phone: (818) 888-7815
Address
Address 2
2927 De La Vina St, Santa Barbara, CA 93105
PO Box 7001, Los Angeles, CA 91357
National Provider ID: 1811958747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JERRY MITCHELL, M.D., INC

Santa Barbara, CA  -  Van Nuys, CA  -  Woodland Hills, CA

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Jan 13, 1993
Addresses:
90 Virginia Ln, Santa Barbara, CA 93108 (Physical)
3847 Deervale Dr, Van Nuys, CA 91403
20524 Chatsboro Dr, Woodland Hills, CA 91364
State ID:
C1841072
Business type:
Articles of Incorporation
President:
Jerry Mitchell (President)
Agent:
Shari Mitchell,Santa Barbara, CA 93108 (Physical)

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