Provider Demographics
NPI:1396968376
Name:PITCHON, HOWARD ELLIOT (MD)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:ELLIOT
Last Name:PITCHON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8920 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211
Mailing Address - Country:US
Mailing Address - Phone:310-657-3719
Mailing Address - Fax:310-652-6480
Practice Address - Street 1:8920 WILSHIRE BLVD
Practice Address - Street 2:SUITE 330
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-657-3719
Practice Address - Fax:310-652-6480
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2011-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG25655207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000G25655Medicaid
A42742Medicare UPIN
CA000G25655Medicaid