HARRY MITTELMAN, MD A PROF. CORP
NPI 1265638464
Otolaryngology - Facial Plastic Surgery in Los Altos, CA

Active since June 25, 2007
795 ALTOS OAKS DR, LOS ALTOS, CA 94024(650) 209-1100(650) 209-1110 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Otolaryngology
  • Facial Plastic Surgery

About HARRY MITTELMAN, MD A PROF. CORP

This page provides the complete NPI Profile along with additional information for Harry Mittelman, Md A Prof. Corp, a provider established in Los Altos, California operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1265638464 assigned on June 2007. The practitioner's primary taxonomy code is 207YS0123X with license number C30674 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Cynthia Tocts (Om)

NPI
1265638464 Verify this NPI
Provider Name
HARRY MITTELMAN, MD A PROF. CORP
Entity Type
Organization
Location Address
795 ALTOS OAKS DR LOS ALTOS, CA 94024
Location Phone
(650) 209-1100
Location Fax
(650) 209-1110
Mailing Address
2017 W GARVEY AVE N WEST COVINA, CA 91790
Mailing Phone
(626) 814-9604
Mailing Fax
(626) 814-9704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
License No.
C30674
License State
CA
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CYNTHIA TOCTS

Authorized Official Title
OM
Authorized Official Phone
(626) 331-6170

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Otolaryngology (Facial Plastic Surgery)
795 ALTOS OAKS DR
LOS ALTOS, CA 94024
Physical Therapist
795 ALTOS OAKS DR
LOS ALTOS, CA 94024
Clinic/Center (Ambulatory Surgical)
795 ALTOS OAKS DR
LOS ALTOS, CA 94024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265638464, enumerated as an "organization" on June 25, 2007.

The provider is located at 795 ALTOS OAKS DR LOS ALTOS, CA 94024 and the phone number is (650) 209-1100.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.