Individual
DIANA CAROLINA OTERO MOSTACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
316848
NY
207RC0000X
Cardiovascular Disease Physician
52332
KY
207RI0011X
Interventional Cardiology Physician
Primary
A198432
CA
390200000X
Student in an Organized Health Care Education/Training Program
52332
KY
Other
Enumeration date
01/28/2014
Last updated
09/05/2024
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