MEDICARE: TANIA BHATIA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	16666	CA

General Provider Information

NPI Number	:	1821587890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA BHATIA D.O.

Provider Business Mailing Address
First Line	:	4383 OVERLAND AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4129
Country	:	US
Telephone Number	:	310-929-0291
Fax Number	:	310-496-8710

Provider Business Practice Location Address
First Line	:	4383 OVERLAND AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4129
Country	:	US
Telephone Number	:	310-929-0291
Fax Number	:	310-496-8710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2018
Last Update Date	:	01/16/2026

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Directions to “ TANIA BHATIA D.O.” Practice Location

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