Provider Demographics
NPI:1396909966
Name:BEHJATNIA, BITA (MD)
Entity type:Individual
Prefix:DR
First Name:BITA
Middle Name:
Last Name:BEHJATNIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 E HAMMOND CIR
Mailing Address - Street 2:UNIT # F
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-7509
Mailing Address - Country:US
Mailing Address - Phone:714-633-7716
Mailing Address - Fax:
Practice Address - Street 1:3405 E HAMMOND CIR
Practice Address - Street 2:UNIT # F
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-7509
Practice Address - Country:US
Practice Address - Phone:714-633-7716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79031207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology