Bagheri, Bita
Bagheri, Bita is an individual health care provider with primary practice located at 12665 Garden Grove Blvd Ste 301 , Garden Grove CA 92843-1917. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bagheri, Bita can be contacted via phone (714) 636-6282.Contact Information
Primary practice address
12665 Garden Grove Blvd Ste 301
Garden Grove CA 92843-1917
Phone: (714) 636-6282
Fax: (714) 422-0960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD423494 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G86148 | California |
Profile Details
| NPI number | 1467493163 |
|---|---|
| LBN Legal business name | Bagheri, Bita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Dec 4th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467493163 | NPPES |
| California | Other | 1730180415 | GROUP PTAN |
| California | Other | G86148 | GROUP PTAN |
| California | Other | P00216382 | GROUP PTAN |
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