Individual
OTHON JOSE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 FOOTHILL RD, VENTURA, CA 93003-1600
(805) 641-4400
Mailing address
3100 FOOTHILL RD, VENTURA, CA 93003-1600
(805) 641-4400
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
2006-0345
NM
207ZF0201X
Forensic Pathology Physician
Primary
A86327
CA
Other
Enumeration date
02/06/2007
Last updated
08/30/2023
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