Provider Demographics
NPI:1790855146
Name:FITTEN, LUIS JAIME (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:JAIME
Last Name:FITTEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16111 PLUMMER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-2036
Mailing Address - Country:US
Mailing Address - Phone:818-895-9349
Mailing Address - Fax:818-895-9515
Practice Address - Street 1:16111 PLUMMER ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-895-9349
Practice Address - Fax:818-895-9515
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2018-04-16
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Provider Licenses
StateLicense IDTaxonomies
CAA296092084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry