Jacob Allen Mitchell, CCP
Jacob Allen Mitchell, CCP is a Perfusionist in LA Jolla, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
9888 Genesee AveLA Jolla, CA 92037-1205
Phone: (858) 834-1798
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Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X |
|---|
Record details
| NPI number | 1306630736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2025 |
| Last updated in NPPES | April 9, 2025 |
| Certification date | April 2, 2025 |
| Mailing address | 4084 Crystal Dawn Ln Unit 201, San Diego, CA 92122-5846 |
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