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Individual

DR. ALAN L HITI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
2250 ALCAZAR ST, CSC-108, LOS ANGELES, CA 90089-9064
(323) 442-2920
(323) 442-2990
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-4815

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A41833
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000G52770
CA
01
A41833
STATE LICENSE
CA
01
ZZZ310292Z
BLUE SHIELD
CA
Enumeration date
02/21/2007
Last updated
02/22/2017
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