Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A113544 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A113544 | CA |
NPI | 1073842852 |
---|---|
Provider Name | Dr. Akshay Mehta |
First Address | Torrance, CA 90503-4421 |
Second Address | Torrance, CA 90503-4421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2009 |
Last Update Date | 18/07/2015 |