Organization Active NPI

Arun K Mittal MD a Medical Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Torrance, CA
National Provider Identifier
1538268560
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A24691 Issued in CA
Legal business name
ARUN K MITTAL MD A MEDICAL CORPORATION
Practice address
4305 Torrance Blvd
Suite 305
Torrance, CA 90503-4409
Phone
(310) 792-5428
Fax
(310) 792-5358
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Mr. Arun K Mittal, MD
Title
President
Phone
(310) 792-5428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X A24691 CA Primary

Addresses

Primary practice location

4305 Torrance Blvd
Suite 305
Torrance, CA 90503-4409

Mailing address

868 Via del Monte
Palos Verdes Estates, CA 90274-1664
Phone (310) 792-5428

Other identifiers 1

IdentifierTypeStateIssuer
00A246910MedicaidCA

National Provider Directory

National Provider Directory

Locations

4305 Torrance Blvd
Ste 305
Torrance, CA 90503
Phone (310) 371-2288

21350 Hawthorne Blvd
#270
Torrance, CA 90503
Phone (310) 373-1115

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1538268560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 VIA DEL MONTE",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741664",
            "telephone_number": "310-792-5428",
            "fax_number": "310-792-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "SUITE 305",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-792-5428",
            "fax_number": "310-792-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUN K MITTAL MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-5428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A24691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A246910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2013; 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.