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Organization
SAM M OTSUJI
Active
Organization
SAM M OTSUJI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM M OTSUJI O.D. (OWNER)
(562) 946-1957
Entity
Organization
Contact information
Practice address
13313 TELEGRAPH RD, WHITTIER, CA 90605-3228
(562) 946-1957
(562) 941-6155
Mailing address
13313 TELEGRAPH RD, WHITTIER, CA 90605-3228
(562) 946-1957
(562) 941-6155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5194TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0005194
—
CA
Enumeration date
10/26/2011
Last updated
10/26/2011
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