Individual
DR. CHARLES OMONDI OTIENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 E GREEN ST. THATCHER MEDICAL CENTER, SUITE L10, PASADENA, CA 91106
(626) 486-2674
(626) 486-2674
Mailing address
2034 LOS AMIGOS ST, LA CANADA, CA 91011-1346
(323) 459-7089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A85874
CA
207P00000X
Emergency Medicine Physician
MD2006-0790
NM
Other
Enumeration date
05/08/2006
Last updated
03/17/2026
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