Individual
OSCAR H. OTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305
(650) 723-7211
Mailing address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-7710
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A103245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4412086
STUDENT ID
—
Enumeration date
10/11/2007
Last updated
06/05/2018
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