Provider Demographics
NPI:1316234511
Name:AKOTIA, POOJA (DO)
Entity type:Individual
Prefix:
First Name:POOJA
Middle Name:
Last Name:AKOTIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:POOJA
Other - Middle Name:
Other - Last Name:AKOTIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:13330 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3251
Mailing Address - Country:US
Mailing Address - Phone:562-789-5434
Mailing Address - Fax:562-863-1903
Practice Address - Street 1:13330 BLOOMFIELD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3251
Practice Address - Country:US
Practice Address - Phone:562-789-5434
Practice Address - Fax:562-863-1903
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA20A12452207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program