# WITMER NEONATOLOGY ASSOCIATES,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063543627
- **Authorized official:** DR. BIJAN SIASSI M.D. (CO-OWNER)
- **Authorized official phone:** (323) 226-3499

## Contact information

- **Practice address:** 1245 WILSHIRE BLVD, LOS ANGELES, CA 90017-4810
- **Practice address phone:** (213) 977-4123
- **Mailing address:** PO BOX 9690, GLENDALE, CA 91226-0690
- **Mailing address phone:** (818) 897-0201
- **Mailing address fax:** (818) 897-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | FNP 29985 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 08/22/2020