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Organization
PITZER FAMILY MEDICINE INC
Active
Organization
PITZER FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO ELLEN PITZER MD MPH (PRESIDENT OWNER)
(714) 970-9900
Entity
Organization
Contact information
Practice address
5475 E LA PALMA AVE, SUITE 204, ANAHEIM, CA 92807
(714) 970-9900
(714) 970-9906
Mailing address
5475 E LA PALMA AVE, SUITE 204, ANAHEIM, CA 92807
(714) 970-9900
(714) 970-9906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A75285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740254366
NPI INDIVIDUAL
—
Enumeration date
09/20/2006
Last updated
08/22/2020
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