Individual
DR. RICHARD ALAN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 W LA PALMA AVE STE 608, ANAHEIM, CA 92801-2813
(714) 774-1102
(949) 459-0100
Mailing address
PO BOX 9036, NEWPORT BEACH, CA 92658-1036
(714) 774-1102
(949) 459-0100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G45864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04242007489190
NPI - GROUP
CA
01
—
GR0095360
CAL-OPTIMA DIRECT (GROUP)
CA
05
—
GR0095360
—
CA
01
—
OOG458641N87
CAL-OPTIMADIRECT-PERSONAL
CA
Enumeration date
07/31/2006
Last updated
04/15/2026
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