Organization
DOUGLAS NITTA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS NITTA M.D. (PRESIDENT)
(714) 773-1116
Entity
Organization
Contact information
Practice address
301 W. BASTANCHURY ROAD, SUITE 155, FULLERTON, CA 92835
(714) 773-1116
Mailing address
301 W. BASTANCHURY ROAD, SUITE 155, FULLERTON, CA 92835
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G45491
CA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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