Individual
MR. THAER OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W 7TH ST STE S270-D, LOS ANGELES, CA 90017-3768
(310) 301-8860
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A165494
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A165494
CA
Other
Enumeration date
03/22/2018
Last updated
08/05/2024
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