Individual
ANDREW OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1990 N CALIFORNIA BLVD, SUITE #400, WALNUT CREEK, CA 94596-3742
(540) 981-7000
Mailing address
3559 VERNAL AVE, MERCED, CA 95340-0638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A138024
CA
207P00000X
Emergency Medicine Physician
Primary
MD61129047
WA
Other
Enumeration date
03/21/2011
Last updated
06/15/2022
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