# MARIA E. OTTAVI MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588966535
- **Authorized official:** DR. MARIA ELLEN OTTAVI MD (OWNER)
- **Authorized official phone:** (310) 453-0577

## Contact information

- **Practice address:** 2021 SANTA MONICA BLVD STE 240E, SANTA MONICA, CA 90404-2147
- **Practice address phone:** (310) 453-0577
- **Practice address fax:** (310) 453-2832
- **Mailing address:** 2021 SANTA MONICA BLVD STE 240E, SANTA MONICA, CA 90404-2147
- **Mailing address phone:** (310) 453-0577
- **Mailing address fax:** (310) 453-2832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A46681 | CA | Yes |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 02/19/2013