Individual
AMIRTHA AJIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1751 W ROMNEYA DR, ANAHEIM, CA 92801-1815
(714) 776-3180
(714) 991-1932
Mailing address
1751 W ROMNEYA DR, ANAHEIM, CA 92801-1815
(714) 776-3180
(714) 991-1932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A56179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A561790
—
CA
Enumeration date
09/09/2005
Last updated
10/14/2021
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