Provider Demographics
NPI:1477663722
Name:PINTO, ANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:PINTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 JAMACHA RD STE 203
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-3224
Mailing Address - Country:US
Mailing Address - Phone:619-442-0945
Mailing Address - Fax:619-579-5945
Practice Address - Street 1:860 JAMACHA RD STE 203
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-3224
Practice Address - Country:US
Practice Address - Phone:619-442-0945
Practice Address - Fax:619-579-5945
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75968208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics