Gordon K. OTA, OD a Professional Corporation
Gordon K. OTA, OD a Professional Corporation is an Optometrist in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
10130 Warner Ave Ste JFountain Valley, CA 92708-1619
Phone: (714) 965-5130
Fax: (714) 965-8265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 7549T (CA) |
|---|
Record details
| NPI number | 1871615146 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gordon Ota — President · (714) 965-5130 |
| NPI enumerated | April 6, 2007 |
| Last updated in NPPES | September 4, 2012 |
| Mailing address | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
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