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General NPI Number Information
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NPI Number | 1770112039
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Entity Type | Organization
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Legal Business Name | VIVEK A MEHTA MD INC
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 16300 SAND CANYON AVE STE 614
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City | IRVINE
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State | CA
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Zip | 92618-3706
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Country | US
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Telephone | 949-344-3468
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Fax | 949-835-3943
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Provider Business Mailing Address
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Address Line | PO BOX 2013
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-1013
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Country | US
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Telephone | 493-887-7190
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Fax | 949-388-7150
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIVEK MEHTA
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Credential | M.D.
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Telephone | 949-388-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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