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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUN MIZUTANI, PT, DPT

Active Sole Proprietor

DR. JUN MIZUTANI, PT, DPT is a Neurology (Occupational Therapy) healthcare provider located in LA MIRADA, California. NPI 1164143301 is currently active in the NPPES registry. Verify at CMS.

Neurology (Occupational Therapy) · LA MIRADA, CA

Registration Details

NPI Number
1164143301
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2022 (3.973774725947 yrs)
Last Updated
Sep 7, 2022
License
41773 (CA)
Sole Proprietor
Yes

Practice Information

Address
12641 LONGLEAF DR
LA MIRADA, CA, 906382019
Browse CA providers · Browse ZIP 90638
Phone
4242021951
Primary Specialty
Neurology (Occupational Therapy)
2251N0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.