John Lee Otis is a Psychiatry in La Jolla, California. John Lee Otis practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Lee Otis is 1235154535. The last update date is 2010-09-03.
John Lee Otis's current location address is 4150 Regents Park Row, La Jolla, California. You can contact this provider via phone number 8584572180 and fax number 8584572194. The mailing address for John Lee Otis is 4150 Regents Park Row, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lee Otis |
|---|---|
| Address | 4150 Regents Park Row, La Jolla, California |
| Phone Number | 8584572180 |
| Fax Number | 8584572194 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235154535 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 4150 Regents Park Row |
|---|---|
| City | La Jolla |
| State | California (CA) |
| Post Code | 920379124 |
| Phone Number | 8584572180 |
| Fax Number | 8584572194 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G28506 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code assigned to John Lee Otis by the Centers for Medicare & Medicaid Services?
The John Lee Otis has been issued the NPI (National Provider Identifier) 1235154535, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Lee Otis?
The John Lee Otis is physically situated at 4150 Regents Park Row, in the city of La Jolla, state of CA, with the postal code 920379124.
What is the area of specialization for John Lee Otis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Lee Otis is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235154535 to John Lee Otis?
The John Lee Otis received its 1235154535 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
When was the information pertaining to John Lee Otis most recently updated or revised?
The details related to John Lee Otis, including its address, specialty, and other relevant information, were last updated or revised on 2010-09-03.