Provider Demographics
NPI:1689091464
Name:MEHTA, ANGELINA (ND)
Entity Type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:
Last Name:MEHTA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6027 E WEST VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-4323
Mailing Address - Country:US
Mailing Address - Phone:678-823-3904
Mailing Address - Fax:
Practice Address - Street 1:13225 JAMBOREE RD
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-9158
Practice Address - Country:US
Practice Address - Phone:714-832-8226
Practice Address - Fax:714-832-3142
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11-1241175F00000X
CAND719175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath