Individual
MICHAEL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3137 DWIGHT RD STE 200, ELK GROVE, CA 95758-6471
(916) 769-4880
Mailing address
3137 DWIGHT RD STE 200, ELK GROVE, CA 95758-6471
(916) 769-4880
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
246RP1900X
Phlebotomy Technician
CA-CPL4466
CA
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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