Witten, Richard M
Witten, Richard M is an individual health care provider with primary practice located at 6363 Wilshire Blvd Ste 320A, Los Angeles CA 90048-5730. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Witten, Richard M can be contacted via phone (323) 653-6111.Contact Information
Primary practice address
6363 Wilshire Blvd Ste 320A
Los Angeles CA 90048-5730
Phone: (323) 653-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G7782 | California |
Profile Details
| NPI number | 1700882644 |
|---|---|
| LBN Legal business name | Witten, Richard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Aug 26th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700882644 | NPPES |
| California | Other | 000G77820 | BLUE SHIELD OF CA |
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