Provider Demographics
NPI:1093356016
Name:MEHROTRA, SACHI ARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SACHI
Middle Name:ARIA
Last Name:MEHROTRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4403 MANCHESTER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4939
Mailing Address - Country:US
Mailing Address - Phone:760-436-6365
Mailing Address - Fax:
Practice Address - Street 1:4403 MANCHESTER AVE STE 101
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4939
Practice Address - Country:US
Practice Address - Phone:760-436-6365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1044031223S0112X, 208VP0000X
CADDS1044031223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223X2210XDental ProvidersDentistOrofacial Pain