Hittle, Theodore Allen

Hittle, Theodore Allen is an individual health care provider with primary practice located at 2202 Wilshire Blvd , Santa Monica CA 90403-5706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hittle, Theodore Allen can be contacted via phone (310) 264-9000.

Contact Information

Primary practice address
2202 Wilshire Blvd Santa Monica CA 90403-5706
Phone: (310) 264-9000
Fax: (310) 264-9004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G50541 California

Profile Details

NPI number 1689628083
LBN Legal business name Hittle, Theodore Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 11th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689628083 NPPES
California MEDICAID 00G505410
California Other 00G505410

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