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Santosh Kumar Mohanty, MD
Specialist in Huntington Beach, California
NPI 1508822990

Santosh Kumar Mohanty is a Specialist based in Huntington Beach, CA. Santosh Kumar Mohanty practices in Huntington Beach, CA and has the professional credentials of MD. The NPI Number for Santosh Kumar Mohanty is 1508822990 and holds a License No. C37357 (California).

The current practice location address for Santosh Kumar Mohanty is 17822 Beach Blvd, Huntington Beach, CA and can be reached out via phone at 714-847-8113 and via fax at 714-842-2497.

Location: 17822 Beach Blvd, Huntington Beach, CA, 92647-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508822990
Provider Name
Santosh Kumar Mohanty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17822 Beach Blvd, Huntington Beach, CA, 92647-7101
Phone Number
714-847-8113
Fax Number
714-842-2497
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C373570 05 CA
C37357 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
17822 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-7101
Phone Number
714-847-8113
Fax Number
714-842-2497
person
Provider Business Mailing Address Details
Address
17822 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-7101
Phone Number
714-847-8113
Fax Number
714-842-2497
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C37357 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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