Healthcare Provider Details
I. General information
NPI: 1760913594
Provider Name (Legal Business Name): NEEMA PITHIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2017
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 S BUENA VISTA ST
BURBANK CA
91505-4809
US
IV. Provider business mailing address
4140 W 190TH ST
TORRANCE CA
90504-5513
US
V. Phone/Fax
- Phone: 818-847-6332
- Fax: 818-847-6339
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A158429 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: