Organization
COAST TO COAST ADULT DAY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER OTIKO DPM (CEO)
(818) 836-2475
Entity
Organization
Contact information
Practice address
6650 RESEDA BLVD, SUITE 101-A, RESEDA, CA 91335-5340
(818) 836-2475
(818) 708-9668
Mailing address
6650 RESEDA BLVD, SUITE 101-A, RESEDA, CA 91335-5340
(818) 836-2475
(818) 708-9668
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
E4159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4159
PODIATRY LICENSE
CA
Enumeration date
04/17/2013
Last updated
04/17/2013
Update your record
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