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NPI Code Detail

MEDICARE: MR. JITEN B BHATT MPT, OCS

MEDICARE: MR. JITEN B BHATT MPT, OCS
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
1225100000XPhysical Therapist25367CA

General Provider Information

NPI Number : 1902013691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JITEN B BHATT MPT, OCS
Provider Business Mailing Address
First Line : 4623 JESSICA DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-4151
Country : US
Telephone Number : 323-255-5576
Fax Number :
Provider Business Practice Location Address
First Line : 8250 WOODMAN AVE
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-5427
Country : US
Telephone Number : 818-375-2059
Fax Number : 818-375-3552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 12/02/2021

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