Organization
COAST TO COAST PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AYODELE OTIKO DPM (CEO)
(818) 708-7668
Entity
Organization
Contact information
Practice address
18740 VENTURA BLVD STE 102, TARZANA, CA 91356-6353
(818) 708-7668
(818) 708-9668
Mailing address
18740 VENTURA BLVD STE 102, TARZANA, CA 91356-6353
(818) 836-2475
(818) 708-9668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4159
LICENSE NUMBER
CA
Enumeration date
01/18/2012
Last updated
07/22/2019
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