Mitchlock Foundation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MITCHLOCK FOUNDATION

Practice address

9061 S Normandie Ave
Los Angeles, CA 90044-2051

Phone

(323) 251-4116

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Charles Lockett

Title

Owner

Phone

(323) 251-4116

Specialties & licenses 3

Addresses

Other names 1

• n/a Other name

Locations

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1285414573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 S VAN NESS AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474145",
            "telephone_number": "323-251-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 S NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442051",
            "telephone_number": "323-251-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHLOCK FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-251-4116"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trinice Sarah Mitchell
• Tristan Mitchell, BA
• Wendy G Mitchell, M.D.
• Yolanda Mitchell
• Ashley Mitchen, PA-C
• Natasha Mitchnick, PPS
• Patricia Mitha, LMFT
• Jennifer Mitnick
• Ronald S Mito, DDS
• Naoko Mitori, RN, NP

• Voluntary or Charitable Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.