Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

King Otha

Individual provider Mental Health Counselor · NPI 1508499062

King Otha is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
4

Practice location Address checks out

1774 Zonal Ave Bldg C
Los Angeles, CA 90033-1064
Phone: (310) 221-6336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 91961 (CA)
Social Worker Taxonomy 104100000X · Licence ACSW91961 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1508499062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

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