Individual
PAMELA HITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 OLD NEWPORT BLVD, SUITE102, NEWPORT BEACH, CA 92663-4210
(949) 631-0300
(949) 631-0302
Mailing address
401 OLD NEWPORT BLVD, SUITE102, NEWPORT BEACH, CA 92663-4210
(949) 631-0300
(949) 631-0302
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A69586
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A69586
CA
207NS0135X
Procedural Dermatology Physician
A69586
CA
Other
Enumeration date
05/31/2006
Last updated
10/15/2015
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