Provider Demographics
NPI:1932287943
Name:MITCHELL, JOSHUA P (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:P
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24510 TOWN CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1337
Mailing Address - Country:US
Mailing Address - Phone:661-288-2321
Mailing Address - Fax:661-288-0378
Practice Address - Street 1:24510 TOWN CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1337
Practice Address - Country:US
Practice Address - Phone:661-288-2321
Practice Address - Fax:661-288-0378
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU90137Medicare UPIN