Individual
ANNA VALERIE OTTAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 NEWPORT CENTER DR, STE 608, NEWPORT BEACH, CA 92660-7601
(949) 720-4920
Mailing address
400 NEWPORT CENTER DR, STE 608, NEWPORT BEACH, CA 92660-7601
(949) 720-4920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A114771
CA
Other
Enumeration date
05/02/2011
Last updated
10/17/2012
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