Individual
DR. MINI MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1760 TERMINO AVE STE 300, LONG BEACH, CA 90804-2157
(562) 933-3009
(562) 933-8557
Mailing address
3640 LOMITA BLVD STE 102, TORRANCE, CA 90505-3984
(562) 933-6730
(562) 933-6744
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A60591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A605910
—
CA
05
—
GR0053510
—
CA
Enumeration date
08/17/2006
Last updated
11/30/2012
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