Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 283485 | MA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A175317 | CA |
NPI | 1144608381 |
---|---|
Provider Name | Aditi Majumdar |
First Address | Orange, CA 92868-3856 |
Second Address | Orange, CA 92868-3856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2015 |
Last Update Date | 13/12/2021 |