Search › California › 207L00000X
Otto Stallworth, M.D
NPI 1639133747 · on the registry since 2006
Practice
- Address
- 4500 W 116th St
Hawthorne, CA 90250 - Phone
- (800) 883-7243
- Organisation at this address
- Otto Stallworth, M.D.,Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-29
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