Mizuta Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5290 Issued in CA

Legal business name

MIZUTA MEDICAL GROUP, INC.

Practice address

3655 Lomita Blvd Ste 115
Torrance, CA 90505-1906

Phone

(310) 791-9696

Fax

(310) 791-9646

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Akihiro Mizuta, D.O.

Title

President

Phone

(310) 791-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1306150149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051906",
            "telephone_number": "310-791-9696",
            "fax_number": "310-791-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051906",
            "telephone_number": "310-791-9696",
            "fax_number": "310-791-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZUTA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "MIZUTA",
        "authorized_official_first_name": "AKIHIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-791-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Miyares
• Marsi Miyashita
• Aimee Y Miyazawa, ATC
• Mikaela Mizuno
• Kylie Akane Mizushima
• Akihiro Mizuta, DO
• Anton Mlikotic, M.D.
• Nwakego Mmeje
• Moa Dental Group
• Tina Moazezi, DO

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.