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Organization
RICHARD A. OTT, MD, INC.
Active
Organization
RICHARD A. OTT, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN OTT MD (PHYSICIAN/SURGEON)
(714) 774-1102
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 608, ANAHEIM, CA 92801-2813
(714) 774-1102
(949) 459-0100
Mailing address
PO BOX 9036, NEWPORT BEACH, CA 92658-1036
(714) 774-1102
(949) 459-0100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G45864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0095360
CAL-OPTIMA
CA
05
—
GR0095360
—
CA
Enumeration date
04/24/2007
Last updated
08/06/2022
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