Harry Mittelman, MD a Prof. Corp

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

C30674 Issued in CA

Legal business name

HARRY MITTELMAN, MD A PROF. CORP

Practice address

795 Altos Oaks Dr
Los Altos, CA 94024-5428

Phone

(650) 209-1100

Fax

(650) 209-1110

NPI assigned

Jun 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Tocts

Title

Om

Phone

(626) 331-6170

Specialties & licenses 1

Addresses

Tax ID family

Harry Mittelman MD a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Harry Mittelman MD Apc

  • Plastic Surgery Physician
  • Los Altos, CA
  • NPI 1093092785
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265638464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902050",
            "telephone_number": "626-814-9604",
            "fax_number": "626-814-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245428",
            "telephone_number": "650-209-1100",
            "fax_number": "650-209-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY MITTELMAN, MD A PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOCTS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "626-331-6170"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "C30674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hair
• Kelly Hamamoto, PA-C
• Steven Floyd Hamman, M.D.
• Pam Handley, PT
• Harry Mittelman MD Apc
• Allison Leigh Harter, L.AC.
• Bruce Wood Hartley, D.D.S.
• Beryl Hattori, PH.D.
• Haven Cognitive Care, a Psychological Corporation
• Angela Haven

• Facial Plastic Surgery Physician in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.