JERRELL LEE MITCHELL

LOS ANGELES, CA
NPI1104280825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  20A18705)
Additional Taxonomies2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: LA  308366)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC  2023-02194)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  308366)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-08
Last Update Date2024-10-15
Business Address
JERRELL LEE MITCHELL DO
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048-5815
Phone number: 925-282-1778
Mailing Address
JERRELL LEE MITCHELL DO
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048-5815
Phone number: