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General NPI Number Information
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NPI Number | 1225965114
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Entity Type | Organization
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Legal Business Name | DOCTORITE PHYSICIAN GROUP
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1764 COLUMBIA AVE STE B
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City | RIVERSIDE
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State | CA
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Zip | 92507-2019
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Country | US
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Telephone | 469-546-9225
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Fax |
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Provider Business Mailing Address
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Address Line | 18240 MIDWAY RD
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City | DALLAS
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State | TX
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Zip | 75287-4923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NEIL KATCHMAN
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Credential | DO
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Telephone | 626-485-5884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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