Individual provider · Type 1 NPI

Illuminada Betita, MD

Family Medicine Physician · Los Angeles, CA

NPI number 1992742886 Active

Practice location

4448 York Blvd
Los Angeles, CA 90041-3328

Fax (323) 344-5237

Mailing address

1300 N Vermont Ave, Suite 1002
Los Angeles, CA 90027-6005

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XC43181 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1992742886

Illuminada Betita, MD's National Provider Identifier is 1992742886, issued on Jun 1, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 13, 2026.