Individual
MITALI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD STE B220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054-0679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD044559
DC
208M00000X
Hospitalist Physician
Primary
A156532
CA
Other
Enumeration date
04/09/2013
Last updated
09/24/2018
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