Individual
DAVID OPAI-TETTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 HAVEN AVENUE, STE101, RANCHO CUCAMONGA, CA 91730
(909) 649-8031
(909) 989-6895
Mailing address
4335 VAN NUYS BLVD, SUTIE 315, SHERMAN OAKS, CA 91403-3727
(909) 649-8031
(909) 989-6895
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A53194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A531940
—
CA
Enumeration date
07/19/2006
Last updated
02/18/2015
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