Provider Demographics
NPI:1154598415
Name:BATHEJA, ROHIT (DDS)
Entity type:Individual
Prefix:
First Name:ROHIT
Middle Name:
Last Name:BATHEJA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 DEL AMO BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-2307
Mailing Address - Country:US
Mailing Address - Phone:562-866-1735
Mailing Address - Fax:562-866-8190
Practice Address - Street 1:5555 DEL AMO BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-2307
Practice Address - Country:US
Practice Address - Phone:562-866-1735
Practice Address - Fax:562-866-8190
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA538961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics