Individual provider · Type 1 NPI

Jonathan Mitry, MD, MSC

Student in an Organized Health Care Education/Training Program · Pasadena, CA

NPI number 1104406974 Active

Practice location

3280 E Foothill Blvd
Pasadena, CA 91107-3148

Call (833) 574-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1104406974

Jonathan Mitry, MD, MSC's National Provider Identifier is 1104406974, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 11, 2024.