Individual
KRISTIN MARIE DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 WILSHIRE BLVD STE 100, BEVERLY HILLS, CA 90211-1966
(310) 432-8947
(310) 432-8968
Mailing address
8900 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211-1967
(310) 432-8947
(310) 432-8968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A91001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A910010
—
CA
Enumeration date
11/27/2007
Last updated
12/05/2023
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