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Organization

LRNM MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATASHA MEHTA MD (CFO, SECRETARY)
(937) 238-6561
Entity
Organization

Contact information

Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(310) 405-0595
Mailing address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
07/22/2025
Last updated
08/11/2025
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