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Organization
ROBERT K. OTANI, M.D.
Active
Organization
ROBERT K. OTANI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KELLEY OTANI M.D. (PMR)
(530) 519-0016
Entity
Organization
Contact information
Practice address
552 VALLOMBROSA AVE, CHICO, CA 95926-4038
(530) 343-8438
(530) 343-2609
Mailing address
P.O. BOX 8127, CHICO, CA 95927-8127
(530) 353-8438
(530) 343-2609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G55038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942313226
NPI TYPE I
CA
Enumeration date
07/14/2009
Last updated
07/14/2009
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