Provider Demographics
NPI:1265668784
Name:MICHAEL GITTER, MD, INC
Entity Type:Organization
Organization Name:MICHAEL GITTER, MD, INC
Other - Org Name:CENTRO MEDICO MACARTHUR PARK
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-484-1244
Mailing Address - Street 1:2011 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-3503
Mailing Address - Country:US
Mailing Address - Phone:213-484-1244
Mailing Address - Fax:213-484-1367
Practice Address - Street 1:2011 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3503
Practice Address - Country:US
Practice Address - Phone:213-484-1244
Practice Address - Fax:213-484-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty