Steven N Witlin MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C18702 Issued in CA

Legal business name

STEVEN N WITLIN MD INC

Practice address

285 S Spalding Dr Unit 3
Beverly Hills, CA 90212-3651

Phone

(310) 845-9311

Fax

(310) 845-9523

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Steven N Witlin, M.D.

Title

Owner/President

Phone

(310) 845-9311

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1619184272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S SPALDING DR UNIT 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123651",
            "telephone_number": "310-845-9311",
            "fax_number": "310-845-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S SPALDING DR UNIT 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123651",
            "telephone_number": "310-845-9311",
            "fax_number": "310-845-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN N WITLIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WITLIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-845-9311",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C18702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C187020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.