Organization
ALLEN M.ENTIN, M.D. AND FELICIA A.OTA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN M ENTIN M.D. (OWNER/PARTNER)
(818) 708-1090
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD, SUITE 100, TARZANA, CA 91356-2804
(818) 708-1090
(818) 708-3238
Mailing address
18370 BURBANK BLVD, SUITE 100, TARZANA, CA 91356-2804
(818) 708-1090
(818) 708-3238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A65703
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G32015
CA
Other
Enumeration date
09/15/2006
Last updated
09/14/2007
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