Healthcare Provider Details

I. General information

NPI: 1225965114
Provider Name (Legal Business Name): DOCTORITE PHYSICIAN GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1764 COLUMBIA AVE STE B
RIVERSIDE CA
92507-2019
US

IV. Provider business mailing address

18240 MIDWAY RD
DALLAS TX
75287-4923
US

V. Phone/Fax

Practice location:
  • Phone: 469-546-9225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEIL KATCHMAN
Title or Position: CEO
Credential: DO
Phone: 626-485-5884