Provider Demographics
NPI:1346832185
Name:MESRI, BITA (PHD)
Entity Type:Individual
Prefix:DR
First Name:BITA
Middle Name:
Last Name:MESRI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17580
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-3580
Mailing Address - Country:US
Mailing Address - Phone:424-577-0244
Mailing Address - Fax:
Practice Address - Street 1:3205 OCEAN PARK BLVD STE 250
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3239
Practice Address - Country:US
Practice Address - Phone:424-214-2759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32342103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical