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MIA JADE PATTILLO MD
NPI 1669266995
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 09, 2025
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(404) 428-3092 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mia Jade Pattillo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA JADE PATTILLO MD (NPI 1669266995) is an individual student in an organized health care education/training program in Los Angeles, California, licensed in New York (390200000X) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1669266995
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIA JADE PATTILLOCredential: MD
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address572 Lincoln Pl Apt 3aBrooklyn, NY 11216-4192 · (404) 428-3092
Phone(404) 428-3092
Sole ProprietorYes
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1669266995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
757 WESTWOOD PLZ, Los Angeles, CA 90095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
LAUREN M NESI
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Pattillo's NPI number?

The NPI number for Mia Pattillo is 1669266995. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Mia Pattillo located?

Mia Pattillo practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (404) 428-3092.

What is Mia Pattillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mia Pattillo was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.