Individual
IAN ACHERO OTINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
28160 MCBEAN PKWY UNIT 16101, VALENCIA, CA 91354-1155
(323) 770-8483
Mailing address
28160 MCBEAN PKWY UNIT 16101, VALENCIA, CA 91354-1155
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95131060
CA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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