Individual
MOTAZ OTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
14319 MARTIN PL, RIVERSIDE, CA 92503-7461
(951) 880-5628
Mailing address
14319 MARTIN PL, RIVERSIDE, CA 92503-7461
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95038837
CA
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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