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General NPI Number Information
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NPI Number | 1629268073
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Entity Type | Organization
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Legal Business Name | MINAL MEHTA MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 18111 BROOKHURST ST #4450
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-848-2383
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Fax | 714-848-4083
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Provider Business Mailing Address
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Address Line | 18111 BROOKHURST ST #4450
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-848-2383
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Fax | 714-848-4083
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MINAL GUNVANTRAY MEHTA
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Credential | MD
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Telephone | 714-848-2383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A79701
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License Number State | CA
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