Provider Demographics
NPI:1841432861
Name:MEHR, NEDA (MD)
Entity Type:Individual
Prefix:
First Name:NEDA
Middle Name:
Last Name:MEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 SUPERIOR AVE
Mailing Address - Street 2:STE 335
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3657
Mailing Address - Country:US
Mailing Address - Phone:949-706-1469
Mailing Address - Fax:949-706-7307
Practice Address - Street 1:500 SUPERIOR AVE
Practice Address - Street 2:STE 335
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3657
Practice Address - Country:US
Practice Address - Phone:949-706-1469
Practice Address - Fax:949-706-7307
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA105012207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFL665XOtherMEDICARE PTAN