Organization · Type 2 NPI

Eliza Rivera Mitu Aprn FNP C A Professional Nursing Corporation

Primary Care Nurse Practitioner · Fountain Valley, CA

NPI number 1780326280 Active

Practice location

11100 Warner Ave Ste 162
Fountain Valley, CA 92708-7510

Fax (562) 786-6956

Mailing address

21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512

Other practice locations

  • 21515 Hawthorne Blvd Ste 200, Torrance, CA 90503-6512 · (562) 786-6723

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse 163WD0400XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Nursing Care Agency 251J00000XNone listed
Physical Therapy Clinic/Center 261QP2000XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Physician Assistant 363A00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1780326280

Eliza Rivera Mitu Aprn FNP C A Professional Nursing Corporation's National Provider Identifier is 1780326280, issued on Apr 13, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 16, 2026.