Individual
DUTT MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
43112 15TH ST W, LANCASTER, CA 93534-6219
(661) 723-2636
(661) 726-2409
Mailing address
43112 15TH ST W, LANCASTER, CA 93534-6219
(661) 723-2636
(661) 726-2409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101020768
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
14678
CA
Other
Enumeration date
07/03/2013
Last updated
12/06/2021
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