Healthcare Provider Details

I. General information

NPI: 1114488905
Provider Name (Legal Business Name): GARIMA DARSHAN MEHTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 AIRPORT PLAZA DR STE 240
LONG BEACH CA
90815-1277
US

IV. Provider business mailing address

12611 ARTESIA BLVD APT 233
CERRITOS CA
90703-8687
US

V. Phone/Fax

Practice location:
  • Phone: 562-421-7635
  • Fax:
Mailing address:
  • Phone: 781-999-4418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number294761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: