| Dr Otto Evans Stallworth, MD | |
|
4500 W 116th St, Hawthorne, CA 90250-2209 | |
| (800) 883-7243 | |
| Not Available |
| Full Name | Dr Otto Evans Stallworth |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 4500 W 116th St, Hawthorne, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639133747 | NPI | - | NPPES |
| 00C337690 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | C33769 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Otto Evans Stallworth, MD 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (800) 883-7243 | Dr Otto Evans Stallworth, MD 4500 W 116th St, Hawthorne, CA 90250-2209 Ph: (800) 883-7243 |
Dr. Artis Woodward, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Ste 300, Hawthorne, CA 90250 Phone: 310-531-8010 Fax: 310-217-7564 | |
Benjamin Hugh Schoepke, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14003 Shoup Ave, Hawthorne, CA 90250 Phone: 901-338-3499 | |
Dr. Osemwota Omoigui, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4019 W Rosecrans Ave, Hawthorne, CA 90250 Phone: 310-675-9121 |