Trayveon K Pittman

NPI 1063615771 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063615771
Gender Male
Enumeration Date 06/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5115 W ADAMS BLVD
LOS ANGELES CA, 90016-2727, US
Phone (323) 933-4391
Fax (323) 933-5973
Business Location
2175 E 103RD ST
#645
LOS ANGELES CA, 90002-3129, US
Phone (323) 353-3055
Fax (323) 933-5973
Toxanomy
Taxonomy Code 171M00000X
License State California
License Number 5841
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According to our database, Mr. Trayveon K Pittman NPI is 1063615771, taxonomy code is 171M00000X and license number is 5841, license state is located at California. Trayveon K Pittman physically located at 5115 W Adams Blvd, Los Angeles CA, 90016-2727. NPI Number Trayveon K Pittman has the Individual type.

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1063615771 NPI number is provided on an as is basis without warranty of any kind. 1063615771 is maintained by the National Plan & Provider Enumeration System. The contents of Trayveon K Pittman are for informational purposes only.