Organization
COAST TO COAST PODIATRY
Active
Other names
Neurogenx NerveCenter Newport Beach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AYODELE OTIKO DPM (OWNER)
(818) 836-2475
Entity
Organization
Contact information
Practice address
18740 VENTURA BLVD STE 102, TARZANA, CA 91356
(818) 836-2475
(310) 943-1457
Mailing address
18740 VENTURA BLVD STE 102, TARZANA, CA 91356-6353
(818) 836-2475
(310) 943-1457
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346223997
NPI
CA
Enumeration date
09/28/2016
Last updated
07/22/2019
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