# MAHESH BHUTA MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528446580
- **Authorized official:** DR. MAHESH BHUTA MD (RESIDENT/OWNER)
- **Authorized official phone:** (310) 559-9884

## Contact information

- **Practice address:** 9711 VENICE BLVD, LOS ANGELES, CA 90034-5109
- **Practice address phone:** (310) 559-9884
- **Mailing address:** 9711 VENICE BLVD, LOS ANGELES, CA 90034-5109
- **Mailing address phone:** (310) 559-9884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | A29467 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015
