Organization
FELICIA A. OTA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA ANN OTA M.D. (PRESIDENT)
(818) 708-1090
Entity
Organization
Contact information
Practice address
15503 VENTURA BOULEVARD, SUITE 200B, ENCINO, CA 91436
(818) 708-1090
(818) 708-3238
Mailing address
15503 VENTURA BOULEVARD, SUITE 200B, ENCINO, CA 91436
(818) 708-1090
(818) 708-3238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A65703
CA
Other
Enumeration date
10/09/2009
Last updated
11/19/2014
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