| NPI | 1952035941 |
|---|---|
| Other Name | OTP - CALIFORNIA, PC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH J JARES CFO 360-539-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |