| Doctor Name: | RENAE WITT |
| NPI Number: | 1144215906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | E4644 |
| Business Practice Address: | 22032 El Paseo Suite 140 Rancho Santa Margarita, CA - 926883947 |
| Business Phone Number: | 9497668505 |
| Business Fax Number: | |
| Mailing Address: | 22032 El Paseo, Suite 140 RANCHO SANTA MARGARITA |
| State: | CA |
| Postal Code: | 926883947 |
| Phone Number: | 9497668505 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |