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Bita Kodi, PMHNP-BC,FNP-BC
Primary Care Clinic/Center in Encinitas, California
NPI 1316501786

Bita Kodi is a Primary Care Clinic/Center based in Encinitas, CA and is specialized in Primary Care. Bita Kodi practices in Encinitas, CA and has the professional credentials of PMHNP-BC,FNP-BC. The NPI Number for Bita Kodi is 1316501786 and holds a License No. 95010378 (California).

The current practice location address for Bita Kodi is 561 Saxony Pl Ste 101, Encinitas, CA and can be reached out via phone at 760-503-4703.

Location: 561 Saxony Pl Ste 101, Encinitas, CA, 92024-7700
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Provider Profile Details
NPI Number
1316501786
Provider Name
Bita Kodi
Credential
PMHNP-BC,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
561 Saxony Pl Ste 101, Encinitas, CA, 92024-7700
Phone Number
760-503-4703
Fax Number
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP95010378 01 CA FNP LICENSE NUMBER
NPF95010378 01 CA NP FURNISHING NUMBER
institution
Provider Business Practice Location Address Details
Address
561 Saxony Pl Ste 101
City
State
Zip
92024-7700
Phone Number
760-503-4703
Fax Number
person
Provider Business Mailing Address Details
Address
561 Saxony Pl Ste 101
City
State
Zip
92024-7700
Phone Number
760-503-4703
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Corporate Health
Taxonomy
License No.
95010378 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
95010378 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
License No.
95010378 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95010378 (California)
Definition
Definition to come...
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