Provider Demographics
NPI:1326052218
Name:FITE, ALBERT AUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:AUSTIN
Last Name:FITE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AUSTIN
Other - Middle Name:
Other - Last Name:FITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1474 PASEO DE ORO
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-1961
Mailing Address - Country:US
Mailing Address - Phone:310-230-1177
Mailing Address - Fax:310-230-9887
Practice Address - Street 1:1025 W OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-1329
Practice Address - Country:US
Practice Address - Phone:213-236-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34549207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine