Individual
ABBEY OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 EL CENTRO ST STE A, SOUTH PASADENA, CA 91030-5754
(323) 482-1598
Mailing address
PO BOX 52832, IRVINE, CA 92619-2832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95033384
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033384
CA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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