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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902088438 | NPPES |
California | MEDICAID | 00A910010 |
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