Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A65703 | CA |
NPI | 1003912270 |
---|---|
Provider Name | Dr. Felicia A. Ota |
First Address | Encino, CA 91436 |
Second Address | Encino, CA 91436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 19/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31676 | (02) | CA |