# MEHTA ORTHO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245602796
- **Authorized official:** DR. AKSHAY MANISH MEHTA MD (OWNER)
- **Authorized official phone:** (310) 699-6886

## Contact information

- **Practice address:** 4201 TORRANCE BLVD, 310, TORRANCE, CA 90503-4504
- **Practice address phone:** (310) 644-1151
- **Practice address fax:** (310) 644-3115
- **Mailing address:** 4201 TORRANCE BLVD, 310, TORRANCE, CA 90503-4504
- **Mailing address phone:** (310) 644-1151
- **Mailing address fax:** (310) 644-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | CA | — |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 10/23/2015
