Search › California › 172V00000X
King Otha
NPI 1508499062 · on the registry since 2020
Practice
- Address
- 1774 Zonal Ave Bldg C
Los Angeles, CA 90033 - Phone
- (310) 221-6336
- Organisation at this address
- Telecare Corporation
Jwch Institute, Inc.
Exodus Recovery, Inc.
Valley Star Behavioral Health, Inc.
Central Star Behavioral Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 116
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101YM0800X
104100000X
1041C0700X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-09
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