Organization
OHIO WOUND CARE CLINICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AYODELE OTIKO MD (PRESIDENT)
(818) 836-2475
Entity
Organization
Contact information
Practice address
6789 RIDGE RD STE 305, PARMA, OH 44129-5635
(323) 434-9441
Mailing address
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292-6636
(818) 836-2475
(323) 433-9177
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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