Provider Demographics
NPI:1407470826
Name:BHAKTA, DARSHANA
Entity Type:Individual
Prefix:
First Name:DARSHANA
Middle Name:
Last Name:BHAKTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 PIONEER BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4075
Mailing Address - Country:US
Mailing Address - Phone:562-403-4403
Mailing Address - Fax:562-403-4405
Practice Address - Street 1:17510 PIONEER BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4075
Practice Address - Country:US
Practice Address - Phone:562-403-4403
Practice Address - Fax:562-403-4405
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care