MARC G MITTLEMAN DPM (NPI# 1285822502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285822502 |
| Entity Type | Organization |
| Organization Name | MARC G MITTLEMAN DPM |
| Other Organization Name | BAY HARBOR PODIATRY GROUP |
| Practice Address |
21250 Hawthorne Blvd Suite#160 Torrance CA 90503-5506 |
| Practice Telephone | 3105401213 |
| Practice Fax Number | 3105407405 |
| Mailing Telephone | 3105401213 |
| Mailing Fax Number | 3105407405 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | MARC G MITTLEMAN (DIRECTOR) |
| Authorized Official Telephone | 3105401213 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E2320 | CA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| BAY HARBOR PODIATRY GROUP | Doing Business As Name - Organization |
| Street Address |
21250 HAWTHORNE BLVD SUITE#160 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700966587 | Marc G Mittleman | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-16 |
| 1174060768 | Torrance Surgical Alliance, Inc | Surgery | 21250 Hawthorne Blvd, Suite 430, Torrance, CA 90503-5506 | 2017-01-20 |
| 1114392933 | Flexogenix, Inc. | Radiology | 21250 Hawthorne Blvd, Suite 110, Torrance, CA 90503-5508 | 2015-12-04 |
| 1215374699 | Robert Leaming | Podiatrist | 21250 Hawthorne Blvd, Ste 160, Torrance, CA 90503-5517 | 2013-05-27 |
| 1073834180 | Randall William Leyking | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2010-06-13 |
| 1518161934 | So Bay Surgical Care Group | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2007-06-11 |
| 1922180181 | Roland Carroll | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-19 |
| 1316029580 | Michael Bloch | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083730568 | Eric Wee, D.p.m., Inc. | Podiatrist | 17521 Crenshaw Blvd, Torrance, CA 90504-3403 | 2007-03-22 |
| 1700966587 | Marc G Mittleman | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-16 |
| 1043213242 | Carl Wagreich | Podiatrist | 23451 Madison St, Ste 230, Torrance, CA 90505-4761 | 2005-05-23 |
| 1518334721 | Compass Foot and Ankle Specialists | Podiatrist | 3400 Lomita Blvd, Ste 403, Torrance, CA 90505-4909 | 2015-08-24 |
| 1518161934 | So Bay Surgical Care Group | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2007-06-11 |
| 1356555619 | Robert Anavian, D.p.m. | Podiatrist | 23456 Hawthorne Blvd, Suite 270, Torrance, CA 90505-4716 | 2007-05-09 |
| 1396874061 | Stephen Wan | Podiatrist | 3400 Lomita Blvd Ste 403, Torrance, CA 90505-4930 | 2007-03-05 |
| 1922180181 | Roland Carroll | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-19 |
| 1316029580 | Michael Bloch | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-19 |
| 1932137452 | Robert Roy Anavian | Podiatrist | 23456 Hawthorne Blvd, Suite 270, Torrance, CA 90505-4716 | 2006-06-30 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.