NPI 1306630736
Jacob Allen Mitchell, CCP
Practice location
- Address
- 9888 Genesee Ave, La Jolla, CA 92037-1205
- Phone
- (858) 834-1798
- Mailing address
- 4084 Crystal Dawn Ln Unit 201, San Diego, CA 92122-5846
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1306630736
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Apr 2025
- Record last updated
- 9 Apr 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.