Organization
PURUSHOTHAM AND AKTHER J KOTHA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AKTHER J KOTHA MD (PRES)
(619) 229-1995
Entity
Organization
Contact information
Practice address
8860 CENTER DR, #400, LA MESA, CA 91942-3068
(619) 229-1995
Mailing address
8860 CENTER DR, #400, LA MESA, CA 91942-3068
(619) 229-1995
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A415338
CA
207RR0500X
Rheumatology Physician
Primary
A45440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A41538
—
CA
05
—
00A45440
—
CA
Enumeration date
04/03/2007
Last updated
12/06/2023
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