Dr Victoria Lee Ota, DO | |
10333 El Camino Real, Atascadero, CA 93422-5808 | |
(805) 468-2000 | |
Not Available |
Full Name | Dr Victoria Lee Ota |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 10333 El Camino Real, Atascadero, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164616140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A9487 (California) | Primary |
Entity Name | Department Of State Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
---|---|
Dr Victoria Lee Ota, DO 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: () - | Dr Victoria Lee Ota, DO 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000 |
Dr. Homan Kian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Department Of State Hospitals - Atascadero, Atascadero, CA 93423 Phone: 916-651-9475 Fax: 916-651-8908 | |
Dr. Karen Jean Roberts, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9700 El Camino Real, Suite 100, Atascadero, CA 93422 Phone: 805-461-9000 Fax: 805-461-9001 | |
Dr. Donah Bulosan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Susan Pido, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Ronald Karl Staib, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Dr. Stephen Randall Ripple, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5905 Capistrano Ave Ste C, Atascadero, CA 93422 Phone: 805-461-7144 Fax: 805-461-7141 |