Lee A. Otis in Los Angeles - Rehabilitation Practitioner

Lee A. Otis - NPI 1063546422

Lee A. Otis is a Rehabilitation Practitioner in Los Angeles, California. Lee A. Otis practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Lee A. Otis is 1063546422. The last update date is 2008-07-30.

Lee A. Otis's current location address is 5717 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3236334231. The mailing address for Lee A. Otis is 5717 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lee A. Otis
Address 5717 San Vicente Blvd, Los Angeles, California
Phone Number 3236334231
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1063546422
Provider Enumeration Date 2007-03-15
Last Updated Date 2008-07-30

Provider Mailing Address Detail

Address 5717 San Vicente Blvd
City Los Angeles
State California (CA)
Post Code 900192525
Phone Number 3236334231
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Lee A. Otis

What is the unique 10-digit identification code issued to Lee A. Otis by the Centers for Medicare & Medicaid Services?

The Lee A. Otis has been assigned the NPI (National Provider Identifier) 1063546422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Lee A. Otis's facilities are situated?

The facilities of Lee A. Otis are physically located at the following address: 5717 San Vicente Blvd, Los Angeles, CA, 900192525.

What is Lee A. Otis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lee A. Otis's area of specialization is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 225400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063546422 to Lee A. Otis?

The Centers for Medicare & Medicaid Services originally issued the 1063546422 to Lee A. Otis on 2007-03-15.

As of what date was the information pertaining to Lee A. Otis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lee A. Otis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-30.

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