Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A146659 | CA |
NPI | 1508165721 |
---|---|
Provider Name | Michael Pitta |
First Address | Monterey, CA 93940-5730 |
Second Address | Monterey, CA 93940-5730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 29/07/2021 |