Individual
SIMLA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 ROBINSON ST, REDONDO BEACH, CA 90278-1748
(310) 483-6965
Mailing address
718 AVENUE D, REDONDO BEACH, CA 90277-4924
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
198204374
CA
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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