Individual provider · NPI-1

Anitha Fathima Ahmed

Pediatrics · Los Angeles, CA

NPI number1346877438
StatusActive
Last updated in NPPESJul 16, 2026

Details

NPI
1346877438
Entity type
Individual (NPI-1)
Name
Anitha Fathima Ahmed
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2020
Certification date
Jul 16, 2026
Last updated
Jul 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsA187422CAYes
2080P0006X Pediatrics, Developmental - Behavioral PediatricsA187422CA

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-361-3849

Mailing address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-361-3849

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