Individual
DR. OTTONIEL ANTONIO MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
100 UCLA MEDICAL PLZ, # 460, LOS ANGELES, CA 90095-0001
(310) 443-8999
(310) 208-4847
Mailing address
100 UCLA MEDICAL PLZ, # 460, LOS ANGELES, CA 90095-0001
(310) 443-8999
(310) 208-4847
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4779
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4779
CA
Other
Enumeration date
05/09/2008
Last updated
10/28/2011
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