Kubaska, Samantha Mehta

Kubaska, Samantha Mehta is an individual health care provider with primary practice located at 24401 Calle De La Louisa Ste 200 , Laguna Hills CA 92653. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Kubaska, Samantha Mehta can be contacted via phone (949) 452-7200.

Contact Information

Primary practice address
24401 Calle De La Louisa Ste 200 Laguna Hills CA 92653
Fax: (949) 464-0720
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X A79054 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X A79054 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A79054 California

Profile Details

NPI number 1235174111
LBN Legal business name Kubaska, Samantha Mehta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 24th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235174111 NPPES
California MEDICAID 00A790540

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