Individual
CLARA RAIZEL MILLER DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(510) 368-1107
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(510) 368-1107
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PTL16342
CA
Other
Enumeration date
03/25/2024
Last updated
08/14/2025
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