Individual
F. OTIS STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 205, LOS ANGELES, CA 90024-6999
(310) 423-3870
(310) 423-0429
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A76669
CA
Other
Enumeration date
07/05/2006
Last updated
01/06/2025
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