Provider Demographics
NPI:1447854633
Name:CHOPRA, MEHAK (NP)
Entity type:Individual
Prefix:
First Name:MEHAK
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8350 E LOFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-6510
Mailing Address - Country:US
Mailing Address - Phone:714-552-1401
Mailing Address - Fax:
Practice Address - Street 1:260 E ONTARIO AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3506
Practice Address - Country:US
Practice Address - Phone:714-785-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015913207RH0003X
CANP95015913363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology