Organization
WITMER NEONATOLOGY ASSOCIATES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN SIASSI M.D. (CO-OWNER)
(323) 226-3499
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, LOS ANGELES, CA 90017-4810
(213) 977-4123
Mailing address
PO BOX 9690, GLENDALE, CA 91226-0690
(818) 897-0201
(818) 897-0176
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
FNP 29985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048560
—
CA
Enumeration date
03/07/2007
Last updated
08/22/2020
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