Otiko, Christopher Ayodele

Otiko, Christopher Ayodele is an sole proprietor health care provider with primary practice located at 6650 Reseda Blvd Suite 101A, Reseda CA 91335-5340. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Otiko, Christopher Ayodele can be contacted via phone (818) 708-7668.

Contact Information

Primary practice address
6650 Reseda Blvd Suite 101A Reseda CA 91335-5340
Phone: (818) 708-7668
Fax: (310) 943-1457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4159 California

Profile Details

NPI number 1346223997
LBN Legal business name Otiko, Christopher Ayodele
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Sep 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346223997 NPPES
California MEDICAID 000E41591
California Other E4159

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