Provider Demographics
NPI:1669792693
Name:AISEN, MINDY L (MD)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:L
Last Name:AISEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7601 IMPERIAL HWY
Mailing Address - Street 2:HB 117
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3456
Mailing Address - Country:US
Mailing Address - Phone:562-401-7161
Mailing Address - Fax:562-803-5623
Practice Address - Street 1:7601 IMPERIAL HWY
Practice Address - Street 2:HB 117
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3456
Practice Address - Country:US
Practice Address - Phone:562-401-7161
Practice Address - Fax:562-803-5623
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG88513207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery