NPI 1205716719
Tasha Mitchell
Practice location
- Address
- 5757 W Century Blvd STE 410-L, Los Angeles, CA 90045-6401
- Phone
- (323) 201-7085
- Mailing address
- 7765 Rebecca Ryan CT, Corona, CA 92880-3220
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1205716719
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Sep 2025
- Record last updated
- 4 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.