Individual
DR. JITEN PRAKASH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D0
Contact information
Practice address
1310 W STEWART DR STE 210, ORANGE, CA 92868-3837
(714) 836-4204
Mailing address
12665 GARDEN GROVE BLVD STE 211, GARDEN GROVE, CA 92843-1916
(714) 636-2890
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17684
CA
Other
Enumeration date
06/27/2017
Last updated
07/22/2022
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