MEDICARE: DR. DAN LITOV PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	21137	CA

General Provider Information

NPI Number	:	1538252812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN LITOV PHD

Provider Business Mailing Address
First Line	:	2001 S BARRINGTON AVE STE 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5379
Country	:	US
Telephone Number	:	323-271-7796
Fax Number	:	310-807-8353

Provider Business Practice Location Address
First Line	:	2001 S BARRINGTON AVE
Second Line	:	SUITE 301
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5379
Country	:	US
Telephone Number	:	323-271-7796
Fax Number	:	310-807-8353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2006
Last Update Date	:	12/09/2019

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Directions to “ DR. DAN LITOV PHD” Practice Location

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