Individual
DR. JOHN LEE OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 REGENTS PARK ROW, 250, LA JOLLA, CA 92037-9124
(858) 457-2180
(858) 457-2194
Mailing address
1679 E MAIN ST, 205, EL CAJON, CA 92021-5212
(619) 579-8745
(619) 457-2194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G28506
CA
Other
Enumeration date
07/13/2006
Last updated
09/03/2010
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