Search › California › 106H00000X
Edmond Otis
NPI 1619681251 · on the registry since 2023 · sole proprietor
Practice
- Address
- 26449 Bodega Ct
Moreno Valley, CA 92555 - Phone
- (760) 612-7029
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California