David M. Mitzner D.O. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5898 Issued in CA

Legal business name

DAVID M. MITZNER D.O. INC.

Practice address

27625 Jefferson Ave Ste 101
Temecula, CA 92590-2619

Phone

(951) 506-5768

Fax

(951) 506-0356

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

David Michael Mitzner, D.O.

Title

President

Phone

(951) 506-5768

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/969/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972660280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 JEFFERSON AVE STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902619",
            "telephone_number": "951-506-5768",
            "fax_number": "951-506-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 JEFFERSON AVE STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902619",
            "telephone_number": "951-506-5768",
            "fax_number": "951-506-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. MITZNER D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITZNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-506-5768",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Temecula, CA
• Providers in Temecula, 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 22, 2020; 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.