Individual
RICHARD WITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2865 ATLANTIC AVE, STE 149, LONG BEACH, CA 90806-7411
(562) 595-1879
(562) 595-0135
Mailing address
2865 ATLANTIC AVE, STE 149, LONG BEACH, CA 90806-7411
(562) 595-1879
(562) 595-0135
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G16378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG163780
—
CA
Enumeration date
10/11/2006
Last updated
07/08/2007
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