Provider Demographics
NPI:1174062889
Name:RITA R KUMAR MD INC
Entity type:Organization
Organization Name:RITA R KUMAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-843-9451
Mailing Address - Street 1:8950 WEST OLYMPIC BLVD.,
Mailing Address - Street 2:SUITE # 218
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3565
Mailing Address - Country:US
Mailing Address - Phone:310-843-9451
Mailing Address - Fax:310-843-9452
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:SUITE # 1805
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2001
Practice Address - Country:US
Practice Address - Phone:310-843-9451
Practice Address - Fax:310-843-9452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAO43690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicare UPIN