Harry Mittelman, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

C30674 Issued in CA

Practice address

795 Altos Oaks Dr
Los Altos, CA 94024-5428

Phone

(626) 814-9604

Fax

(626) 814-9704

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467560466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245428",
            "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": "626-814-9604",
            "fax_number": "626-814-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELMAN",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "C30674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payvand Milani
• Maria Estefania Millan
• Robert Christopher Miller, PH.D.
• Mind & Body Garden, a Psychological Corporation
• Mindful Child & Family Therapy, Inc
• Patricia Ann Mittelstadt, PHD ABPDN
• Curtis Ken Miyahara, D.M.D.
• Lauren Mock
• April J Modesti, D.C.
• Nidhi Aditya Modi

• 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 Jul 8, 2007; 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.