Dittmar, Kristin Marie

Dittmar, Kristin Marie is an individual health care provider with primary practice located at 8900 Wilshire Blvd Ste 100 , Beverly Hills CA 90211-1966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dittmar, Kristin Marie can be contacted via phone (310) 432-8947.

Contact Information

Primary practice address
8900 Wilshire Blvd Ste 100 Beverly Hills CA 90211-1966
Phone: (310) 432-8947
Fax: (310) 432-8968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A91001 California

Profile Details

NPI number 1902088438
LBN Legal business name Dittmar, Kristin Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Dec 5th, 2023 - about 2 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 1902088438 NPPES
California MEDICAID 00A910010

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