Bitter, Edward John

Bitter, Edward John is an sole proprietor health care provider with primary practice located at 19634 Ventura Blvd Ste. 325, Tarzana CA 91356-2966. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bitter, Edward John can be contacted via phone (818) 345-2341.

Contact Information

Primary practice address
19634 Ventura Blvd Ste. 325 Tarzana CA 91356-2966
Fax: (818) 345-7736
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY043401 California

Profile Details

NPI number 1124043179
LBN Legal business name Bitter, Edward John
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Sep 9th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124043179 NPPES
California Other 5422000PL43400 BLUE SHIELD OF CALIFORNIA
California MEDICAID PSY043401 BLUE SHIELD OF CALIFORNIA

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