Otsuji, Sam M

Otsuji, Sam M is an sole proprietor health care provider with primary practice located at 13313 Telegraph Rd , Whittier CA 90605-3228. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Otsuji, Sam M can be contacted via phone (562) 946-1957.

Contact Information

Primary practice address
13313 Telegraph Rd Whittier CA 90605-3228
Fax: (562) 941-6155
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5194T California

Profile Details

NPI number 1922079789
LBN Legal business name Otsuji, Sam M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Sep 15th, 2010 - about 14 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 1922079789 NPPES
California MEDICAID SD0051940

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