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NPI Code Detail

MEDICARE: DR. JEFFREY LITZINGER M.D.

MEDICARE: DR. JEFFREY LITZINGER M.D.
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
12084P0800XPsychiatry Physician122952AK
22084P0800XPsychiatry Physician200301488NC
32084P0800XPsychiatry PhysicianA66706CA
42084P0804XChild & Adolescent Psychiatry Physician122952AK
52084P0804XChild & Adolescent Psychiatry PhysicianA66706CA
62084P0804XChild & Adolescent Psychiatry Physician200301488NC

General Provider Information

NPI Number : 1316918170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY LITZINGER M.D.
Provider Business Mailing Address
First Line : 809 WILD TURKEY PL
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-4265
Country : US
Telephone Number : 714-862-9981
Fax Number :
Provider Business Practice Location Address
First Line : 4132 KATELLA AVE STE 200
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3496
Country : US
Telephone Number : 562-312-1777
Fax Number : 562-318-2257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 12/04/2024

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