Individual
DR. KAVITHA MOTHKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 BLAZING STAR, IRVINE, CA 92604-3036
(949) 651-6370
Mailing address
4 BLAZING STAR, IRVINE, CA 92604-3036
(949) 651-6370
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
A96430
CA
251G00000X
Community Based Hospice Care Agency
A96430
CA
261QP2300X
Primary Care Clinic/Center
A96430
CA
281P00000X
Chronic Disease Hospital
A96430
CA
282E00000X
Long Term Care Hospital
A96430
CA
282N00000X
General Acute Care Hospital
A96430
CA
291U00000X
Clinical Medical Laboratory
Primary
A96430
CA
320700000X
Physical Disabilities Residential Treatment Facility
A96430
CA
Other
Enumeration date
03/29/2007
Last updated
09/11/2025
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