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Contact Information

GAUTAM U MEHTA, MD
2100 W 3RD ST
LOS ANGELES, CA90057
 Phone: 650-704-5424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GAUTAM U MEHTA · (Male)

NPI # 1952620189
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2010
Last updated 08/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A156598
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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