Provider Demographics
NPI:1538508809
Name:NEHORAY, BITA MEIRA (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:BITA
Middle Name:MEIRA
Last Name:NEHORAY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 DUARTE RD
Mailing Address - Street 2:MODULE 173
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-3012
Mailing Address - Country:US
Mailing Address - Phone:626-256-4673
Mailing Address - Fax:626-930-5495
Practice Address - Street 1:1500 DUARTE RD
Practice Address - Street 2:MODULE 173
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3012
Practice Address - Country:US
Practice Address - Phone:626-256-4673
Practice Address - Fax:626-930-5495
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000452170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS