Healthcare Provider Details

I. General information

NPI: 1841285277
Provider Name (Legal Business Name): LAVEEZA BHATTI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CORPORATE POINTE STE 50
CULVER CITY CA
90230-8726
US

IV. Provider business mailing address

8390 CHAMPIONS GATE BLVD SUITE 215
CHAMPIONS GATE FL
33896-8310
US

V. Phone/Fax

Practice location:
  • Phone: 424-266-7474
  • Fax: 310-596-8268
Mailing address:
  • Phone: 407-390-1677
  • Fax: 407-390-1765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA54090
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA54090
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: