MEDICARE: DR. RONALD BITTER 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
1	207R00000X	Internal Medicine Physician	G032420	CA

General Provider Information

NPI Number	:	1770691883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD BITTER M.D.

Provider Business Mailing Address
First Line	:	3502 HATHAWAY AVE APT 104
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-2600
Country	:	US
Telephone Number	:	714-420-6387
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 ELM AVE STE 309
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1600
Country	:	US
Telephone Number	:	562-595-8549
Fax Number	:	562-492-6271

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	07/08/2007

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