Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 62469 | CA |
Y | 213EG0000X | General Practice | 62469 | CA |
NPI | 1003257536 |
---|---|
Provider Name | Dr. Erik I Pleitez |
First Address | Chatsworth, CA 91311-0988 |
Second Address | Chatsworth, CA 91311-0988 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2013 |
Last Update Date | 12/07/2013 |