Othella Theresa Owens MD

NPI 1033138110 - Otolaryngology - 207YX0007X

NPI Details
NPI 1033138110
Gender Female
Enumeration Date 07/19/2006
Last Updated 05/02/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1127 WILSHIRE BLVD
SUITE 1604
LOS ANGELES CA, 90017-4007, US
Phone (213) 250-5470
Fax (213) 250-5468
Business Location
1127 WILSHIRE BLVD
SUITE 1604
LOS ANGELES CA, 90017-4007, US
Phone (213) 250-5470
Fax (213) 250-5468
Toxanomy
Taxonomy Code 207YX0007X
License State California
License Number G42573
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According to our database, Dr. Othella Theresa Owens MD NPI is 1033138110, taxonomy code is 207YX0007X and license number is G42573, license state is located at California. Othella Theresa Owens MD physically located at 1127 Wilshire Blvd, Los Angeles CA, 90017-4007. NPI Number Othella Theresa Owens MD has the Individual type.

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1033138110 NPI number is provided on an as is basis without warranty of any kind. 1033138110 is maintained by the National Plan & Provider Enumeration System. The contents of Othella Theresa Owens MD are for informational purposes only.