Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krystal Mitchell, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1801391040

Krystal Mitchell, MD is a Dermatology in Beverly Hills, California. Qualified in 2018, 8 years ago. Practices with Active Life Wound Clinic a Professional Nursing Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in California, Illinois and New York.

Years since qualifying
8
Licensed in
CA, IL, NY
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

433 N Camden Dr
Beverly Hills, CA 90210-4409
Phone: (105) 507-6613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A180532 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 326417 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1801391040 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801391040
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Active Life Wound Clinic A Professional Nursing Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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