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NPI Code Detail

MEDICARE: PAUL KNITTEL MD INC

MEDICARE: PAUL KNITTEL MD INC
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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianA72047CA

General Provider Information

NPI Number : 1982036729
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL KNITTEL MD INC
Provider Business Mailing Address
First Line : 326 CALLE DE ARBOLES
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-6606
Country : US
Telephone Number : 310-378-0876
Fax Number :
Provider Business Practice Location Address
First Line : 1812 ARTESIA BLVD
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-2906
Country : US
Telephone Number : 310-378-0876
Fax Number :
Authorized Official
Title or Position : OFFICE MANGER
Name : SUZANNE BURNS-KNITTEL
Credential :
Telephone Number : 310-378-0876
Provider Enumeration Date : 08/03/2013
Last Update Date : 08/02/2024

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Directions to “PAUL KNITTEL MD INC ” Practice Location

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