Provider Demographics
NPI:1326305343
Name:JOHN W. RITTER MD INC.
Entity Type:Organization
Organization Name:JOHN W. RITTER MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-335-5452
Mailing Address - Street 1:640 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-2456
Mailing Address - Country:US
Mailing Address - Phone:626-335-5452
Mailing Address - Fax:626-335-5462
Practice Address - Street 1:640 W FOOTHILL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-2456
Practice Address - Country:US
Practice Address - Phone:626-335-5452
Practice Address - Fax:626-335-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA20970207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty