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Contact Information

OTHELLA T OWENS, MD
1127 WILSHIRE BLVD
SUITE 1604
LOS ANGELES, CA90017-4007
 Phone: 213-250-5470
 Fax: 213-250-5468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for OTHELLA T OWENS · (Female)

NPI # 1033138110
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 05/02/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G42573
  • CA Medicaid 00G425730
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    1225 WILSHIRE BOULEVARD
    LOS ANGELES, CA 90017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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