Lideia N. Itchon, M.D. Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LIDEIA N. ITCHON, M.D. INC.

Practice address

25835 Narbonne Ave Ste 260
Lomita, CA 90717-3085

Phone

(310) 517-0977

Fax

(310) 517-9811

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lideia Navasca Itchon, M.D.NPI 1619078599

Title

President

Phone

(310) 517-0977

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lideia Navasca Itchon, M.D.

  • Pediatrics Physician
  • Lomita, CA
  • NPI 1619078599
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336240217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25835 NARBONNE AVE STE 260",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173085",
            "telephone_number": "310-517-0977",
            "fax_number": "310-517-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25835 NARBONNE AVE STE 260",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173085",
            "telephone_number": "310-517-0977",
            "fax_number": "310-517-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDEIA N. ITCHON, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ITCHON",
        "authorized_official_first_name": "LIDEIA",
        "authorized_official_middle_name": "NAVASCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-517-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Lomita, CA
• Providers in Lomita, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.