Provider Demographics
NPI:1922029024
Name:BITAR, ADIB HUSNI (MD,)
Entity Type:Individual
Prefix:DR
First Name:ADIB
Middle Name:HUSNI
Last Name:BITAR
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
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Mailing Address - Street 1:1161 E COVINA BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-1523
Mailing Address - Country:US
Mailing Address - Phone:626-859-5270
Mailing Address - Fax:626-339-8601
Practice Address - Street 1:1161 E COVINA BLVD
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1523
Practice Address - Country:US
Practice Address - Phone:626-966-1632
Practice Address - Fax:626-331-1716
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC375062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC37506Medicare PIN
CAA87939Medicare UPIN