Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Theodore R Mitchell IV, RDN

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1063269587

Mr. Theodore R Mitchell IV, RDN is a Pediatric Nutrition Registered Dietitian in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1727 W 51st Pl
Los Angeles, CA 90062-2341
Phone: (424) 646-0619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 — (323) 660-2450

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X

Record details

NPI number1063269587
Entity typeIndividual (Type 1)
GenderMale
Credentials RDN
Sole proprietorYes
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

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