Provider Demographics
NPI:1669471363
Name:NEUMANN, PACITA B (MD)
Entity Type:Individual
Prefix:
First Name:PACITA
Middle Name:B
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2661 E WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1412
Mailing Address - Country:US
Mailing Address - Phone:626-798-4952
Mailing Address - Fax:626-798-5260
Practice Address - Street 1:1542 E FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-2536
Practice Address - Country:US
Practice Address - Phone:323-584-0222
Practice Address - Fax:323-584-0634
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2012-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA40240208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
F67448Medicare UPIN