Provider Demographics
NPI:1710306592
Name:BHATTASALI, ONITA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ONITA
Middle Name:
Last Name:BHATTASALI
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4950 W SUNSET BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5822
Mailing Address - Country:US
Mailing Address - Phone:323-783-2841
Mailing Address - Fax:323-783-5927
Practice Address - Street 1:4950 W SUNSET BLVD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5822
Practice Address - Country:US
Practice Address - Phone:323-783-2841
Practice Address - Fax:323-783-5927
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2021-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10049441207R00000X
CAA1398202085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine