Organization Active NPI

Marc G Mittleman DPM

  • Podiatrist
  • Torrance, CA
National Provider Identifier
1285822502
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2320 Issued in CA
Legal business name
MARC G MITTLEMAN DPM
Practice address
21250 Hawthorne Blvd
Suite#160
Torrance, CA 90503-5506
Phone
(310) 540-1213
Fax
(310) 540-7405
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Marc G Mittleman, DPM
Title
Director
Phone
(310) 540-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E2320 CA Primary

Addresses

Primary practice location

21250 Hawthorne Blvd
Suite#160
Torrance, CA 90503-5506

Mailing address

21250 Hawthorne Blvd
Suite#160
Torrance, CA 90503-5506
Phone (310) 540-1213

Other names 1

  • BAY HARBOR PODIATRY GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1285822502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD",
            "address_2": "SUITE#160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035506",
            "telephone_number": "310-540-1213",
            "fax_number": "310-540-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD",
            "address_2": "SUITE#160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035506",
            "telephone_number": "310-540-1213",
            "fax_number": "310-540-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC G MITTLEMAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "MITTLEMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-540-1213",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY HARBOR PODIATRY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.