Healthcare Provider Details

I. General information

NPI: 1922041482
Provider Name (Legal Business Name): BHATIA HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 06/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 E MAIN ST SUITE 100
EL CAJON CA
92020-3909
US

IV. Provider business mailing address

161 E MAIN ST SUITE 100
EL CAJON CA
92020-3909
US

V. Phone/Fax

Practice location:
  • Phone: 619-589-0552
  • Fax: 619-589-0505
Mailing address:
  • Phone: 619-589-0552
  • Fax: 619-589-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PRAKASH K. BHATIA
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 619-589-0552