Basic Information
Provider Information
NPI: 1801207014
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AIYER
FirstName: ROHIT
MiddleName: SANJEEV
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 140 E COMMONWEALTH AVE STE 101
Address2:  
City: FULLERTON
State: CA
PostalCode: 928321905
CountryCode: US
TelephoneNumber: 7147734111
FaxNumber: 7147734222
Practice Location
Address1: 140 E COMMONWEALTH AVE STE 101
Address2:  
City: FULLERTON
State: CA
PostalCode: 928321905
CountryCode: US
TelephoneNumber: 7147734111
FaxNumber: 7147734222
Other Information
ProviderEnumerationDate: 05/12/2014
LastUpdateDate: 09/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P2900X29176701NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
2084P2900X4301116655MIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
2084P0800XA176800CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
207LP2900X291767-01NYN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP2900X4301116655MIN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207LP2900XA176800CAN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
2084P0800X291767-01NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P2900XA176800CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine

No ID Information.


Home