MITCHELL LANGE

VISTA, CA
NPI1992432249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  PA61561)
Enumeration Date2022-08-05
Last Update Date2024-01-09
Business Address
MITCHELL LANGE
966 S SANTA FE AVE STE A
VISTA, CA 92084-6202
Phone number: 760-941-7050
Mailing Address
MITCHELL LANGE
3764 LA COLUSA DR
SAN MARCOS, CA 92078-3610
Phone number: