Individual
DR. JOSE E. OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6367 ALVARADO CT, #104, SAN DIEGO, CA 92120
(619) 229-1211
(619) 229-1141
Mailing address
6367 ALVARADO CT, #104, SAN DIEGO, CA 92120
(619) 229-1211
(619) 229-1141
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
A30334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB249129
PTAN FOR GROUP
CA
01
—
CB249130
PTAN
CA
Enumeration date
04/27/2006
Last updated
02/22/2016
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