Provider Demographics
NPI:1598882599
Name:LITSCH, SIMONE (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMONE
Middle Name:
Last Name:LITSCH
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 1:120 NEWPORT CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6916
Mailing Address - Country:US
Mailing Address - Phone:925-202-4176
Mailing Address - Fax:949-656-7770
Practice Address - Street 1:120 NEWPORT CENTER DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:925-202-4176
Practice Address - Fax:949-656-7770
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1084212084P0800X, 2084S0012X
CAA892542084S0012X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF1966ZMedicare PIN
CAB1448ZMedicare PIN