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Michael S Mitri

  • Male

Medical Specialty

Professional ID

  • NPI: 1730314063
  • PECOS ID: 5991931032
  • Enrollment ID: I20131120001828
  • Credential(MD, DO, DPM):
  • Medical School: Medical College Of Wisconsin
  • Medical School Graduation Year: 2009

Hospital Service

  • Hospital CCN1: 050438
  • Business Name (LBN)1: Huntington Memorial Hospital

Medical Practices

  • Organization Name: Fair Oaks Womens Health
  • Group Practice ID assigned by PECOS: 9032246103
  • Number of Group Practice member: 4

Location

  • Address1: 625 S Fair Oaks Ave
  • Address2: Suite 255
  • City: Pasadena
  • State: California
  • Zip Code: 91105
  • Phone Number: (626)304-2626

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):