Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 104403 | CA |
N | 1223X2210X | Orofacial Pain | DDS104403 | CA |
NPI | 1093356016 |
---|---|
Provider Name | Dr. Sachi Aria Mehrotra |
First Address | Encinitas, CA 92024-4939 |
Second Address | Encinitas, CA 92024-4939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2019 |
Last Update Date | 10/02/2022 |