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
Phone: (949) 452-7200
Fax: (949) 464-0720
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235174111 | NPPES |
| California | MEDICAID | 00A790540 |
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