Provider Demographics
NPI:1538281464
Name:SITKOFF, IRWIN LEONARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IRWIN
Middle Name:LEONARD
Last Name:SITKOFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10325 NORTHVALE RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-4330
Mailing Address - Country:US
Mailing Address - Phone:310-559-0583
Mailing Address - Fax:310-559-5635
Practice Address - Street 1:1422 E FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-1937
Practice Address - Country:US
Practice Address - Phone:323-582-6363
Practice Address - Fax:323-582-0955
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA191721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy