Provider Demographics
NPI:1437269420
Name:LALITA PANDIT MD INC
Entity Type:Organization
Organization Name:LALITA PANDIT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LALITA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PANDIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-432-9200
Mailing Address - Street 1:11180 WARNER AVE STE 467
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7505
Mailing Address - Country:US
Mailing Address - Phone:714-432-9200
Mailing Address - Fax:844-267-7896
Practice Address - Street 1:11180 WARNER AVE STE 467
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7505
Practice Address - Country:US
Practice Address - Phone:714-432-9200
Practice Address - Fax:844-267-7896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A477070Medicaid
CAA47707Medicare ID - Type Unspecified