Susan E. Otero in Glendale - General Practice
Susan E. Otero - NPI 1205997244
Susan E. Otero is a General Practice in Glendale, California. Susan E. Otero practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susan E. Otero is 1205997244. The last update date is 2023-05-25.
Susan E. Otero's current location address is 3746 Foothill Blvd Ste B140, Glendale, California. You can contact this provider via phone number 3104455999. The mailing address for Susan E. Otero is 3746 Foothill Blvd Ste B140, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan E. Otero |
|---|---|
| Address | 3746 Foothill Blvd Ste B140, Glendale, California |
| Phone Number | 3104455999 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205997244 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2023-05-25 |
Provider Mailing Address Detail
| Address | 3746 Foothill Blvd Ste B140 |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912141740 |
| Phone Number | 3104455999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | C1-0025325 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528271300 | MD | -- | |
| 25544400 | DC | -- |
Post Comment/ Review Below
What is the Susan E. Otero's unique identification number?
The Susan E. Otero has been assigned the NPI (National Provider Identifier) Number 1205997244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susan E. Otero's physical address?
The Susan E. Otero is physically located at 3746 Foothill Blvd Ste B140, in the city of Glendale, CA, with the postal code 912141740.
What is Susan E. Otero's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan E. Otero's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
When did Susan E. Otero receive its 1205997244 assignment?
The Susan E. Otero was assigned its 1205997244 on 2006-12-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Susan E. Otero most recently updated or revised?
The information pertaining to Susan E. Otero, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-25.