Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 37478 | CA |
NPI | 1023028453 |
---|---|
Provider Name | Dr. Nina Bhatt |
First Address | Mission Viejo, CA 92691-5313 |
Second Address | Mission Viejo, CA 92691-5313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |