Individual
CHRISTOPHER AYODELE OTIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6650 RESEDA BLVD, SUITE 101A, RESEDA, CA 91335-5340
(818) 708-7668
(310) 943-1457
Mailing address
6650 RESEDA BLVD, SUITE 101A, RESEDA, CA 91335-5340
(818) 708-7668
(310) 943-1457
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41591
—
CA
01
—
E4159
LICENSE NUMBER
CA
Enumeration date
11/28/2005
Last updated
09/10/2015
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