| NPI | 1245602796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKSHAY MANISH MEHTA Owner 310-699-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |