# KHUSAL MEHTA RURAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1710007786
- **Authorized official:** DR. KHUSAL D MEHTA M.D. (DIRECTOR)
- **Authorized official phone:** (559) 591-1060

## Contact information

- **Practice address:** 430 N VERMONT AVE, DINUBA, CA 93618-1631
- **Practice address phone:** (559) 591-1060
- **Mailing address:** 430 N VERMONT AVE, DINUBA, CA 93618-1631
- **Mailing address phone:** (559) 591-1060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0A360470 | CA | Yes |

## Other

- **Enumeration date:** 03/31/2007
- **Last updated:** 01/07/2014