Mohanty, Santosh Kumar

Mohanty, Santosh Kumar is an individual health care provider with primary practice located at 17822 Beach Blvd Suite 263, Huntington Beach CA 92647-7101. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mohanty, Santosh Kumar can be contacted via phone (714) 847-8113.

Contact Information

Primary practice address
17822 Beach Blvd Suite 263 Huntington Beach CA 92647-7101
Phone: (714) 847-8113
Fax: (714) 842-2497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C37357 California

Profile Details

NPI number 1508822990
LBN Legal business name Mohanty, Santosh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1508822990 NPPES
California MEDICAID 00C373570
California Other C37357

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