Individual
ABHISHEK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1225 N H ST, LOMPOC, CA 93436
(805) 737-8760
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 737-8760
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A147857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A147857
STATE LICENSE NUMBER
CA
Enumeration date
05/22/2012
Last updated
09/25/2018
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