Provider Demographics
NPI:1073226163
Name:WILLIAM PITTMAN MD INC
Entity Type:Organization
Organization Name:WILLIAM PITTMAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-478-4750
Mailing Address - Street 1:8484 WILSHIRE BLVD STE 570
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3234
Mailing Address - Country:US
Mailing Address - Phone:424-478-4750
Mailing Address - Fax:424-478-4752
Practice Address - Street 1:8484 WILSHIRE BLVD STE 570
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3234
Practice Address - Country:US
Practice Address - Phone:424-478-4750
Practice Address - Fax:424-478-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty