Provider Demographics
NPI:1063711976
Name:MCDOWELL, MITCHELL ALBERT (DO)
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:ALBERT
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 MAGNOLIA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3128
Mailing Address - Country:US
Mailing Address - Phone:951-444-1911
Mailing Address - Fax:800-581-5312
Practice Address - Street 1:818 MAGNOLIA AVE STE 202
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3128
Practice Address - Country:US
Practice Address - Phone:951-444-1911
Practice Address - Fax:800-581-5312
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11652207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery